Individual provider · Type 1 NPI
Jerrica Nicole Maxey
Professional Counselor · Longview, TX
NPI number
1033046065
Active
Practice location
705 E Marshall Ave Ste 5003
Longview, TX 75601-5530
Mailing address
419 Margie Bush Rd
Hallsville, TX 75650-7701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 98406 (TX) |
Professional Counselor: Definition to come...
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About NPI 1033046065
Jerrica Nicole Maxey's National Provider Identifier is 1033046065, issued on May 5, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on May 5, 2026.