Provider Demographics
NPI:1295092062
Name:FORBES, JENNY R (MA, LPC)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:R
Last Name:FORBES
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17655 HENDERSON PASS
Mailing Address - Street 2:APT 1124
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1502
Mailing Address - Country:US
Mailing Address - Phone:210-313-4009
Mailing Address - Fax:
Practice Address - Street 1:14607 SAN PEDRO AVE
Practice Address - Street 2:SUITE 295
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4325
Practice Address - Country:US
Practice Address - Phone:210-403-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19554101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor