Provider Demographics
NPI:1437815859
Name:MASPERO, JESSICA ALLISON (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ALLISON
Last Name:MASPERO
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 LIVE OAK DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-1513
Mailing Address - Country:US
Mailing Address - Phone:210-467-7488
Mailing Address - Fax:
Practice Address - Street 1:5424 RUFE SNOW DR STE 304
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6686
Practice Address - Country:US
Practice Address - Phone:817-576-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional