Provider Demographics
NPI:1659539948
Name:EMBRY, JENNIFER JONES (MA MBA LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JONES
Last Name:EMBRY
Suffix:
Gender:F
Credentials:MA MBA LPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:EMBRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1840 BISSOMET
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005
Mailing Address - Country:US
Mailing Address - Phone:713-703-9952
Mailing Address - Fax:713-522-0789
Practice Address - Street 1:1840 BISSOMET
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005
Practice Address - Country:US
Practice Address - Phone:713-703-9952
Practice Address - Fax:713-522-0789
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18916103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling