Individual provider · Type 1 NPI
Jessica Landaverde, MA, LPC
Mental Health Counselor · Broaddus, TX
NPI number
1083301642
Active
Practice location
8267 FM 705
Broaddus, TX 75929-3111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 82716 (TX) |
Mental Health Counselor: Definition to come...
About NPI 1083301642
Jessica Landaverde, MA, LPC's National Provider Identifier is 1083301642, issued on Apr 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broaddus, TX. The record was last updated on Apr 24, 2023.