Provider Demographics
NPI:1679348312
Name:JENNIFER L. HARKINS, LPC, PLLC
Entity type:Organization
Organization Name:JENNIFER L. HARKINS, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCDC, NCC
Authorized Official - Phone:210-379-5364
Mailing Address - Street 1:143 CANYON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1303
Mailing Address - Country:US
Mailing Address - Phone:210-379-5364
Mailing Address - Fax:210-437-4774
Practice Address - Street 1:2929 MOSSROCK STE 227
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5138
Practice Address - Country:US
Practice Address - Phone:210-379-5364
Practice Address - Fax:210-437-4774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health