Provider Demographics
NPI:1831843093
Name:DAILEY, JE'NAY MARIE (LPCA)
Entity type:Individual
Prefix:
First Name:JE'NAY
Middle Name:MARIE
Last Name:DAILEY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WOODLAND PARK DR APT M306
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2292
Mailing Address - Country:US
Mailing Address - Phone:510-734-9771
Mailing Address - Fax:
Practice Address - Street 1:2500 WOODLAND PARK DR APT M306
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2292
Practice Address - Country:US
Practice Address - Phone:510-734-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87483101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health