Provider Demographics
NPI:1952662124
Name:TAPPE, JEANNETTE D (PHD, NCC, LPC-S)
Entity Type:Individual
Prefix:DR
First Name:JEANNETTE
Middle Name:D
Last Name:TAPPE
Suffix:
Gender:F
Credentials:PHD, NCC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28518 CLYDESDALE CIR
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4635
Mailing Address - Country:US
Mailing Address - Phone:210-325-4870
Mailing Address - Fax:210-447-7909
Practice Address - Street 1:407 W WATER ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4243
Practice Address - Country:US
Practice Address - Phone:210-325-4870
Practice Address - Fax:830-890-5151
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65396101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional