Provider Demographics
NPI:1629880398
Name:BINFORD, JENNA (MA, LPCA)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:BINFORD
Suffix:
Gender:F
Credentials:MA, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21619 ROYAL MELBOURNE CT
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-6571
Mailing Address - Country:US
Mailing Address - Phone:281-235-8664
Mailing Address - Fax:
Practice Address - Street 1:21619 ROYAL MELBOURNE CT
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-6571
Practice Address - Country:US
Practice Address - Phone:281-235-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96913101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor