Provider Demographics
NPI:1770899098
Name:TELFEYAN, JAIME FERN (MS, LPC-S, NCC)
Entity type:Individual
Prefix:MS
First Name:JAIME
Middle Name:FERN
Last Name:TELFEYAN
Suffix:
Gender:F
Credentials:MS, LPC-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 RUNNING WYLD
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-8689
Mailing Address - Country:US
Mailing Address - Phone:512-433-9899
Mailing Address - Fax:
Practice Address - Street 1:2605 RUNNING WYLD
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-8689
Practice Address - Country:US
Practice Address - Phone:512-433-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66708101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional