Provider Demographics
NPI:1750007530
Name:OPARAODU, JENNIFER OLIVIA (LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:OLIVIA
Last Name:OPARAODU
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8431 TYLER DR
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-7388
Mailing Address - Country:US
Mailing Address - Phone:940-202-9193
Mailing Address - Fax:
Practice Address - Street 1:215 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-2011
Practice Address - Country:US
Practice Address - Phone:940-202-9193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88579101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty