Provider Demographics
NPI:1841713468
Name:HARKINS, JENNIFER L (LPC, PLLC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:HARKINS
Suffix:
Gender:F
Credentials:LPC, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 MOSSROCK STE 227
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5138
Mailing Address - Country:US
Mailing Address - Phone:210-379-5364
Mailing Address - Fax:210-437-4774
Practice Address - Street 1:2929 MOSSROCK STE 227
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5138
Practice Address - Country:US
Practice Address - Phone:210-379-5364
Practice Address - Fax:210-437-4774
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14482101YA0400X
TX76557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)