Provider Demographics
NPI:1447532544
Name:ELKINS, JENNIFER D (MA,LPC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:D
Last Name:ELKINS
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2503 SOUTH BLVD
Mailing Address - Street 2:SUITE202
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-5111
Mailing Address - Country:US
Mailing Address - Phone:713-522-8665
Mailing Address - Fax:
Practice Address - Street 1:2503 SOUTH BLVD
Practice Address - Street 2:SUITE202
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-5111
Practice Address - Country:US
Practice Address - Phone:713-522-8665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16851101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health