Provider Demographics
NPI:1932494283
Name:ROBINSON, JAQUENETTE JOHNS (LPC)
Entity Type:Individual
Prefix:
First Name:JAQUENETTE
Middle Name:JOHNS
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W. LAMAR ST.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090
Mailing Address - Country:US
Mailing Address - Phone:903-375-0055
Mailing Address - Fax:214-989-7452
Practice Address - Street 1:402 W. LAMAR ST.
Practice Address - Street 2:SUITE 105
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-375-0055
Practice Address - Fax:214-989-7452
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18213101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional