Provider Demographics
NPI:1710267927
Name:HUNT, JENNIFER CAROL (MA)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:CAROL
Last Name:HUNT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:BRAZZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2415 COIT RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3758
Mailing Address - Country:US
Mailing Address - Phone:972-596-7229
Mailing Address - Fax:972-596-7410
Practice Address - Street 1:2415 COIT RD
Practice Address - Street 2:SUITE B
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3758
Practice Address - Country:US
Practice Address - Phone:972-596-7229
Practice Address - Fax:972-596-7410
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16131101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional