| Mrs Jessica Durham, MS, LPC | |
|
120 Valley Vw, Glen Rose, TX 76043-4320 | |
| (832) 819-2755 | |
| Not Available |
| Full Name | Mrs Jessica Durham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 120 Valley Vw, Glen Rose, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720728108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 81283 (Texas) | Primary |
| Entity Name | The Harris Center For Mental Health And Idd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346293156 PECOS PAC ID: 9739088790 Enrollment ID: O20040108000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Durham, MS, LPC 120 Valley Vw, Glen Rose, TX 76043-4320 Ph: (936) 230-8077 | Mrs Jessica Durham, MS, LPC 120 Valley Vw, Glen Rose, TX 76043-4320 Ph: (832) 819-2755 |
Alyssa Lane Kee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2862 County Road 313 Loop, Glen Rose, TX 76043 Phone: 254-436-8296 | |
C Jeffrey Bise, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Glenwood St., Ste 500, Glen Rose, TX 76043 Phone: 254-897-2202 Fax: 254-897-2102 | |
Jonette Phegley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 Southwest Barnard Street, Glen Rose, TX 76043 Phone: 817-965-2010 | |
Dr. Melinda Gaye Lewis, LPA Counselor Medicare: Accepting Medicare Assignments Practice Location: 1104 Hereford St, Glen Rose, TX 76043 Phone: 682-302-4597 |