Provider Demographics
NPI:1336948884
Name:JOBE, JESSIE LEE (LPC-A)
Entity type:Individual
Prefix:
First Name:JESSIE
Middle Name:LEE
Last Name:JOBE
Suffix:
Gender:
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:TX
Mailing Address - Zip Code:75762-0102
Mailing Address - Country:US
Mailing Address - Phone:903-360-9290
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 102
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:TX
Practice Address - Zip Code:75762-0102
Practice Address - Country:US
Practice Address - Phone:903-360-9290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health