Provider Demographics
NPI:1841604634
Name:JARZOMBEK, JULIE ANN (LPC, NCC)
Entity Type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:ANN
Last Name:JARZOMBEK
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11212 STATE HWY 151
Mailing Address - Street 2:MEDICAL BLDG 2, 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251
Mailing Address - Country:US
Mailing Address - Phone:210-703-9440
Mailing Address - Fax:210-520-0378
Practice Address - Street 1:11212 STATE HWY 151
Practice Address - Street 2:MEDICAL BLD 2, 201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-703-9440
Practice Address - Fax:210-520-0378
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health