Provider Demographics
NPI:1801551601
Name:AWAD, JENNIFER H B (MA, LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:H B
Last Name:AWAD
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4222 TRINITY MILLS RD STE 250
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7655
Mailing Address - Country:US
Mailing Address - Phone:972-534-4288
Mailing Address - Fax:972-640-9476
Practice Address - Street 1:4222 TRINITY MILLS RD STE 250
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7655
Practice Address - Country:US
Practice Address - Phone:972-534-4288
Practice Address - Fax:972-640-9476
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81699101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional