Provider Demographics
NPI:1902424757
Name:JASSO, JESUS RAMON JR (LICENSED PROFESSIONA)
Entity Type:Individual
Prefix:MR
First Name:JESUS
Middle Name:RAMON
Last Name:JASSO
Suffix:JR
Gender:M
Credentials:LICENSED PROFESSIONA
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Mailing Address - Street 1:2126 NORTHWEST FREEWAY/21216 U.S. 290 WEST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429
Mailing Address - Country:US
Mailing Address - Phone:832-237-2673
Mailing Address - Fax:832-237-2676
Practice Address - Street 1:2126 NORTHWEST FREEWAY/21216 U.S. 290 WEST
Practice Address - Street 2:SUITE 450
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:832-237-2673
Practice Address - Fax:832-237-2676
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX80183101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional