Provider Demographics
NPI:1659264174
Name:JETT, OLIVIA (LPC-A)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:JETT
Suffix:
Gender:F
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 1:2007 N COLLINS BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2666
Mailing Address - Country:US
Mailing Address - Phone:469-930-0171
Mailing Address - Fax:
Practice Address - Street 1:2007 N COLLINS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2666
Practice Address - Country:US
Practice Address - Phone:469-930-0171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98818101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor