Provider Demographics
NPI:1639444540
Name:CHONIS, JESSICA ABEL (CGC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ABEL
Last Name:CHONIS
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:CLAIRE
Other - Last Name:ABEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6811 AUSTIN CENTER BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3146
Mailing Address - Country:US
Mailing Address - Phone:512-628-1926
Mailing Address - Fax:512-628-1841
Practice Address - Street 1:6811 AUSTIN CENTER BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3146
Practice Address - Country:US
Practice Address - Phone:512-628-1926
Practice Address - Fax:512-628-1841
Is Sole Proprietor?:No
Enumeration Date:2012-03-12
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS