Provider Demographics
NPI:1881395242
Name:YOON, JENNIFER ANN (LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:YOON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WHITE ASTER CT
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-2710
Mailing Address - Country:US
Mailing Address - Phone:719-338-1590
Mailing Address - Fax:
Practice Address - Street 1:551 S IH 35 STE 200
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2820
Practice Address - Country:US
Practice Address - Phone:884-374-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional