Provider Demographics
NPI:1760762975
Name:KANA, JEFF (LPC)
Entity Type:Individual
Prefix:MR
First Name:JEFF
Middle Name:
Last Name:KANA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23501 CINCO RANCH BLVD STE G200
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3106
Mailing Address - Country:US
Mailing Address - Phone:281-394-1379
Mailing Address - Fax:
Practice Address - Street 1:23501 CINCO RANCH BLVD STE G200
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3106
Practice Address - Country:US
Practice Address - Phone:281-394-1379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64092101YM0800X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health