Provider Demographics
NPI:1700290830
Name:LICHY, JESSICA LEE BYLSMA (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LEE BYLSMA
Last Name:LICHY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:LEE
Other - Last Name:BYLSMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:P.O. BOX 310994
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78131
Mailing Address - Country:US
Mailing Address - Phone:830-609-9994
Mailing Address - Fax:830-609-9994
Practice Address - Street 1:184 COMAL AVE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4508
Practice Address - Country:US
Practice Address - Phone:903-240-9922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health