Provider Demographics
NPI:1023434941
Name:REEVES, JENNIFER (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:REEVES
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:4131 MT EVEREST WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-0142
Mailing Address - Country:US
Mailing Address - Phone:832-226-6530
Mailing Address - Fax:
Practice Address - Street 1:4131 MT EVEREST WAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-0142
Practice Address - Country:US
Practice Address - Phone:832-226-6530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201897106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist