Provider Demographics
NPI:1821858085
Name:JUENGST, JESSICA RACHEL (LCSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:RACHEL
Last Name:JUENGST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:RACHEL
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1217 E 28TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-1111
Mailing Address - Country:US
Mailing Address - Phone:832-233-0417
Mailing Address - Fax:
Practice Address - Street 1:8805 FERNDALE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6515
Practice Address - Country:US
Practice Address - Phone:832-233-0417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1049831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical