Provider Demographics
NPI:1477642528
Name:JARRARD, JESSICA SR (LCSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:JARRARD
Suffix:SR
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9555 LEBANON RD
Mailing Address - Street 2:SUITE 903
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6080
Mailing Address - Country:US
Mailing Address - Phone:214-663-8059
Mailing Address - Fax:214-387-0504
Practice Address - Street 1:9555 LEBANON RD
Practice Address - Street 2:SUITE 903
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6080
Practice Address - Country:US
Practice Address - Phone:214-663-8059
Practice Address - Fax:214-387-0504
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical