Provider Demographics
NPI:1720831985
Name:NEMONS, JESSE L JR
Entity Type:Individual
Prefix:MR
First Name:JESSE
Middle Name:L
Last Name:NEMONS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24607 BELL CANYON LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4499
Mailing Address - Country:US
Mailing Address - Phone:832-661-8629
Mailing Address - Fax:
Practice Address - Street 1:250 ASSAY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-3505
Practice Address - Country:US
Practice Address - Phone:281-656-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health