Provider Demographics
NPI:1811872856
Name:PAVLOVIC, JENNIFER C (LPC, LPCC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:C
Last Name:PAVLOVIC
Suffix:
Gender:F
Credentials:LPC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4831 ANDOVER ST
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3944
Mailing Address - Country:US
Mailing Address - Phone:407-803-9920
Mailing Address - Fax:
Practice Address - Street 1:4831 ANDOVER ST
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3944
Practice Address - Country:US
Practice Address - Phone:407-803-9920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91649101YP2500X
CA17801101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional