Provider Demographics
NPI:1700421666
Name:FURLONG, JENNIFER HENRY (LPC-S)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HENRY
Last Name:FURLONG
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:HENRY-FURLONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-S
Mailing Address - Street 1:9465 SHERWOOD GLN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-4129
Mailing Address - Country:US
Mailing Address - Phone:214-564-4149
Mailing Address - Fax:
Practice Address - Street 1:3500 OAK LAWN AVE STE 720
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219
Practice Address - Country:US
Practice Address - Phone:214-564-4149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19179101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional