Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 64557 | TX |
N | 101YP1600X | Pastoral Counselor | 64557 | TX |
Y | 101YP2500X | Professional Counselor | 64557 | TX |
NPI | 1053658500 |
---|---|
Provider Name | Ms. Jency J. James |
First Address | Austin, TX 78727-0078 |
Second Address | Austin, TX 78705-3127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2013 |
Last Update Date | 12/08/2016 |