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Provider Information for 1063586717


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Mrs. JENNIFER ALLEN NORTON M.A., LPC-S


Sex: Female

NPI: 1063586717
Last Updated: 2023-11-01
Certification Date: 2023-11-01

Details

NameValue
NPI1063586717
Enumeration Date2006-11-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 12335 HYMEADOW DR STE 400
AUSTIN, TX 78750-1935
United States

Phone: 512-751-9023 | Fax:
 
Primary Practice Address 13740 RESEARCH BLVD STE K2
AUSTIN, TX 78750-1832
United States

Phone: 512-751-9023 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX173905401
Other (non-Medicare)TX7150LCBCBS
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX19555