Provider Demographics
NPI:1023408069
Name:METZLER, JENNIFER L (LPC, LMFT-A)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:METZLER
Suffix:
Gender:F
Credentials:LPC, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 BREA CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1815
Mailing Address - Country:US
Mailing Address - Phone:832-277-4952
Mailing Address - Fax:
Practice Address - Street 1:3806 BREA CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1815
Practice Address - Country:US
Practice Address - Phone:832-277-4952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66041101YP2500X
TX201501106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist