| Doctor Name: | JOLENE DES ROCHES |
| NPI Number: | 1457538142 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 61736 |
| Business Practice Address: | 1005 B St Floresville, TX - 781141900 |
| Business Phone Number: | 2103570369 |
| Business Fax Number: | 2103570458 |
| Mailing Address: | Po Box 725, LYTLE |
| State: | TX |
| Postal Code: | 780520725 |
| Phone Number: | 2103570369 |
| Fax Number: | 2103570458 |
| NPI Enumeration Date: | 01/25/2008 |
| NPI Last Update Date: | 01/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 61736 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |