Provider Demographics
NPI:1124500756
Name:HUNDLEY, JARODD WALTER (LPC)
Entity type:Individual
Prefix:
First Name:JARODD
Middle Name:WALTER
Last Name:HUNDLEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 VANCE JACKSON RD APT 22308
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1970
Mailing Address - Country:US
Mailing Address - Phone:318-201-2962
Mailing Address - Fax:
Practice Address - Street 1:4040 BROADWAY STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-6300
Practice Address - Country:US
Practice Address - Phone:877-504-8504
Practice Address - Fax:855-420-6402
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health