Individual provider · Type 1 NPI

Jennifer Loeravasquez

Professional Counselor · Fort Worth, TX

NPI number 1104254853 Active

Practice location

3840 Hulen St, Htn, Client Accounting
Fort Worth, TX 76107-7277

Call (817) 569-4300 Map

Mailing address

PO Box 2603, Htn, Client Accounting
Fort Worth, TX 76113-2603

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X67901 (TX)

Professional Counselor: Definition to come...

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About NPI 1104254853

Jennifer Loeravasquez's National Provider Identifier is 1104254853, issued on Oct 16, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 20, 2014.