| Doctor Name: | SAUNDRA L JAIN |
| NPI Number: | 1215130026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD, LPC |
| License Number: | 9091 |
| Business Practice Address: | 201 Oak Dr S Suite 204 Lake Jackson, TX - 775665676 |
| Business Phone Number: | 9794809886 |
| Business Fax Number: | 9794809997 |
| Mailing Address: | 19 Heritage Oak Ct, LAKE JACKSON |
| State: | TX |
| Postal Code: | 775664961 |
| Phone Number: | 9794809886 |
| Fax Number: | 9794809997 |
| NPI Enumeration Date: | 06/08/2007 |
| NPI Last Update Date: | 08/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 9091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |