Provider Demographics
NPI:1609636471
Name:GONZALEZ, JESSICA NARVAEZ (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:NARVAEZ
Last Name:GONZALEZ
Suffix:
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 1:3715 MUSTANG LN
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-3576
Mailing Address - Country:US
Mailing Address - Phone:832-287-9047
Mailing Address - Fax:
Practice Address - Street 1:3715 MUSTANG LN
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-3576
Practice Address - Country:US
Practice Address - Phone:832-287-9047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX603071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical