Provider Demographics
NPI:1477441400
Name:OLVERA, JAQUELINE LEE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:MS
First Name:JAQUELINE
Middle Name:LEE
Last Name:OLVERA
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 1:8003 S INTERSTATE 35 APT 2934
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-0091
Mailing Address - Country:US
Mailing Address - Phone:361-401-1893
Mailing Address - Fax:
Practice Address - Street 1:1213 W SLAUGHTER LN STE 130
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6904
Practice Address - Country:US
Practice Address - Phone:512-640-2134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional