Provider Demographics
NPI:1952327769
Name:LOZANO, JEANNE RENEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:RENEE
Last Name:LOZANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:LOZANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2051 HUGHES RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7317
Mailing Address - Country:US
Mailing Address - Phone:817-282-1911
Mailing Address - Fax:817-488-9656
Practice Address - Street 1:2051 HUGHES RD
Practice Address - Street 2:SUITE B
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7317
Practice Address - Country:US
Practice Address - Phone:817-282-1911
Practice Address - Fax:817-488-9656
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS125841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical