Provider Demographics
NPI:1649784703
Name:JESSICA HENDERSON & ASSOCIATES COUNSELING
Entity type:Organization
Organization Name:JESSICA HENDERSON & ASSOCIATES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:CLAUDETTE
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-299-7357
Mailing Address - Street 1:800 WILCREST DR STE 201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1456
Mailing Address - Country:US
Mailing Address - Phone:713-299-7357
Mailing Address - Fax:
Practice Address - Street 1:800 WILCREST DR STE 201
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-1456
Practice Address - Country:US
Practice Address - Phone:713-299-7357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty