Provider Demographics
NPI:1811441165
Name:JJJ COUNSELING & ASSOCIATES, PLLC
Entity type:Organization
Organization Name:JJJ COUNSELING & ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GURAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCDCI
Authorized Official - Phone:817-913-0419
Mailing Address - Street 1:PO BOX 691
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-0691
Mailing Address - Country:US
Mailing Address - Phone:817-913-0419
Mailing Address - Fax:
Practice Address - Street 1:200 S 14TH ST
Practice Address - Street 2:SUITE 140
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3358
Practice Address - Country:US
Practice Address - Phone:817-913-0419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-03
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71286101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty