Provider Demographics
NPI:1982247771
Name:PAZER, JALAINE (LPC)
Entity Type:Individual
Prefix:
First Name:JALAINE
Middle Name:
Last Name:PAZER
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 1:71 GENESEE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-3685
Mailing Address - Country:US
Mailing Address - Phone:724-504-4106
Mailing Address - Fax:
Practice Address - Street 1:2203 TIMBERLOCH PL STE 128
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1130
Practice Address - Country:US
Practice Address - Phone:346-297-0596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-24
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011826101YP2500X
TX85878101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional