| Doctor Name: | MRS. JENNIFER L GASTINEAU |
| NPI Number: | 1730300575 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC |
| License Number: | 19994 |
| Business Practice Address: | 1970 Rawhide Dr Suite 318 Round Rock, TX - 786816957 |
| Business Phone Number: | 5123883638 |
| Business Fax Number: | 5123883634 |
| Mailing Address: | 1970 Rawhide Dr, Suite #318 ROUND ROCK |
| State: | TX |
| Postal Code: | 786816957 |
| Phone Number: | 5123883638 |
| Fax Number: | 5123883634 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 08/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 19994 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |