Provider Demographics
NPI:1790595650
Name:HARRIS, JESSICA ELAINE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELAINE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 SCOTTSDALE DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1621
Mailing Address - Country:US
Mailing Address - Phone:972-358-7703
Mailing Address - Fax:
Practice Address - Street 1:4099 MCEWEN RD STE 610
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-5042
Practice Address - Country:US
Practice Address - Phone:214-471-5182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty