person
Jessica F Boulanger, MED,LPC,NCC,CCTP
Professional Counselor in San Antonio, Texas
NPI 1831595818

Jessica F Boulanger is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Jessica F Boulanger practices in San Antonio, TX and has the professional credentials of MED,LPC,NCC,CCTP. The NPI Number for Jessica F Boulanger is 1831595818 and holds a License No. 67194 (Texas).

The current practice location address for Jessica F Boulanger is 4414 Centerview Ste 204, San Antonio, TX and can be reached out via phone at 210-739-4200 and via fax at 210-757-3220.

Location: 4414 Centerview Ste 204, San Antonio, TX, 78228-1432
person
Provider Profile Details
NPI Number
1831595818
Provider Name
Jessica F Boulanger
Credential
MED,LPC,NCC,CCTP
Provider Entity Type
Individual
Gender
Female
Address
4414 Centerview Ste 204, San Antonio, TX, 78228-1432
Phone Number
210-739-4200
Fax Number
210-757-3220
Provider Enumeration Date
11/18/2014
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
226826 01 NATIONAL CERTIFIED COUNSELOR (NCC) - NATIONAL BOARD OF CERTIFIED COUNSELORS NBCC
526802 01 TX AVAILITY -NATIONAL PROVIDER WORKFLOW SOLUTIONS FOR PAYORS
998642 01 TX CERTIFIED CLINICAL TRAUMA PROFESSIONAL (CCTP) - EVERGREEN CERTIFICATIONS
67194 01 TX LICENSED PROFESSIONAL COUNSELOR (LPC) - BEHAVIORAL HEALTH EXECUTIVE COUNSEL BHEC
12788486 01 CAQH NATIONAL PROVIDER DATABASE
institution
Provider Business Practice Location Address Details
Address
4414 Centerview Ste 204
City
State
Zip
78228-1432
Phone Number
210-739-4200
Fax Number
210-757-3220
person
Provider Business Mailing Address Details
Address
4414 Centerview Ste 204
City
State
Zip
78228-1432
Phone Number
210-739-4200
Fax Number
210-757-3220
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
67194 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
67194 (Texas)
Definition
Definition to come...
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