Provider Demographics
NPI:1922355700
Name:HENRY, JANA MULLER (MED, LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:MULLER
Last Name:HENRY
Suffix:
Gender:F
Credentials:MED, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 S FRY RD STE 465
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2259
Mailing Address - Country:US
Mailing Address - Phone:281-940-8515
Mailing Address - Fax:888-972-1582
Practice Address - Street 1:707 S FRY RD STE 465
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2259
Practice Address - Country:US
Practice Address - Phone:281-940-8515
Practice Address - Fax:888-972-1582
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69585101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional