Jennifer Hogue

Individual provider Active NPI Professional Counselor · Garden Ridge, TX

NPI 1831850940 · NPPES record last updated Jan 2, 2022

Key facts

NPI
1831850940
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
12558 (TX)
Practice address
18965 FM 2252 Ste 2
Garden Ridge, TX 78266-2561
Phone
(210) 816-2621
NPI assigned
Jan 2, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12558TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12558 TX Yes

Addresses

Primary practice location

18965 FM 2252 Ste 2
Garden Ridge, TX 78266-2561

Mailing address

22761 Estacado
San Antonio, TX 78261-4431
Phone (210) 213-4011

Other providers in Garden Ridge, TX

All providers in Garden Ridge, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.