Provider Demographics
NPI:1750189866
Name:COPADO, JEANNIE DELGADO (LMFT)
Entity type:Individual
Prefix:
First Name:JEANNIE
Middle Name:DELGADO
Last Name:COPADO
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:JEANNIE
Other - Middle Name:
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1819 SKIPWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3032
Mailing Address - Country:US
Mailing Address - Phone:713-826-5072
Mailing Address - Fax:
Practice Address - Street 1:3129 KINGSLEY DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8504
Practice Address - Country:US
Practice Address - Phone:346-440-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204666106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204666OtherLMFT