| Doctor Name: | MS. JENNIFER KELLY GUILLETTE |
| NPI Number: | 1023029030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, NCC, LPC-S |
| License Number: | 18373 |
| Business Practice Address: | 3550 Parkwood Blvd A-201 Frisco, TX - 75034 |
| Business Phone Number: | 9032531633 |
| Business Fax Number: | 4697773910 |
| Mailing Address: | Po Box 1087, FRISCO |
| State: | TX |
| Postal Code: | 75034 |
| Phone Number: | 9032531633 |
| Fax Number: | 4697773910 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 05/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 18373 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |