Provider Demographics
NPI:1801600176
Name:VALENTINE, JAGEE' LOVISA (LCDC, LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JAGEE'
Middle Name:LOVISA
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:LCDC, LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 LOCKHILL SELMA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1410
Mailing Address - Country:US
Mailing Address - Phone:210-481-4120
Mailing Address - Fax:
Practice Address - Street 1:2121 LOCKHILL SELMA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1410
Practice Address - Country:US
Practice Address - Phone:210-481-4120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14318101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)