Provider Demographics
NPI:1447556089
Name:CANUL, JENNIFER L (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:CANUL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
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Mailing Address - Street 1:13100 WORTHAM CENTER DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5625
Mailing Address - Country:US
Mailing Address - Phone:832-688-9747
Mailing Address - Fax:832-688-8415
Practice Address - Street 1:13100 WORTHAM CENTER DR
Practice Address - Street 2:SUITE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5625
Practice Address - Country:US
Practice Address - Phone:832-688-9747
Practice Address - Fax:832-688-8415
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-30
Last Update Date:2011-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX19426101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional