| Doctor Name: | JESSICA LYNN STEWART |
| NPI Number: | 1003248469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC |
| License Number: | 69761 |
| Business Practice Address: | 5015 S Ih 35 Austin, TX - 787442713 |
| Business Phone Number: | 5128043202 |
| Business Fax Number: | |
| Mailing Address: | 1430 Collier St, AUSTIN |
| State: | TX |
| Postal Code: | 787042911 |
| Phone Number: | 5124724357 |
| Fax Number: | 5127031394 |
| NPI Enumeration Date: | 08/07/2013 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 69761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |