Provider Demographics
NPI:1811561533
Name:VANNESS, JENNIFER ABBEY (LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ABBEY
Last Name:VANNESS
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 1:11122 WURZBACH RD STE 206B
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2574
Mailing Address - Country:US
Mailing Address - Phone:940-487-7240
Mailing Address - Fax:
Practice Address - Street 1:11122 WURZBACH RD STE 206B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2574
Practice Address - Country:US
Practice Address - Phone:940-487-7240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty