Provider Demographics
NPI:1215455357
Name:JARES, DONNA MANN (LPC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MANN
Last Name:JARES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:MAURINE
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4916 PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3416
Mailing Address - Country:US
Mailing Address - Phone:713-668-5218
Mailing Address - Fax:
Practice Address - Street 1:4801 LA BRANCH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5650
Practice Address - Country:US
Practice Address - Phone:713-252-7254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional