Individual provider · Type 1 NPI
Jessica Durham, MS, LPC
Professional Counselor · Glen Rose, TX
NPI number
1720728108
Active
Practice location
120 Valley Vw
Glen Rose, TX 76043-4320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 81283 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Glen Rose
About NPI 1720728108
Jessica Durham, MS, LPC's National Provider Identifier is 1720728108, issued on Mar 31, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glen Rose, TX. The record was last updated on May 4, 2026.