Provider Demographics
NPI:1871399873
Name:KAY, JESSICA MARIE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIE
Last Name:KAY
Suffix:
Gender:
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 COUNTY ROAD 2516
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75973-0266
Mailing Address - Country:US
Mailing Address - Phone:936-572-3463
Mailing Address - Fax:
Practice Address - Street 1:304 LOGANSPORT ST
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-3521
Practice Address - Country:US
Practice Address - Phone:936-591-8380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92183101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional