Provider Demographics
NPI:1073400172
Name:CHEVEZ, JENNIFER MARLENI (MA, LPC- ASSOCIATE)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:MARLENI
Last Name:CHEVEZ
Suffix:
Gender:F
Credentials:MA, LPC- ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15309 CRADLE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-2033
Mailing Address - Country:US
Mailing Address - Phone:713-409-6695
Mailing Address - Fax:
Practice Address - Street 1:1458 CAMPBELL RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4663
Practice Address - Country:US
Practice Address - Phone:346-200-5865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98513101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health