Provider Demographics
NPI:1720328180
Name:RENTFRO, JAYLIA A (MS, LMFT-A)
Entity Type:Individual
Prefix:MS
First Name:JAYLIA
Middle Name:A
Last Name:RENTFRO
Suffix:
Gender:F
Credentials:MS, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 HILLCREST LN
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249-5170
Mailing Address - Country:US
Mailing Address - Phone:806-676-6196
Mailing Address - Fax:
Practice Address - Street 1:500 HILLCREST LN
Practice Address - Street 2:
Practice Address - City:KRUM
Practice Address - State:TX
Practice Address - Zip Code:76249-5170
Practice Address - Country:US
Practice Address - Phone:806-676-6196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist