NPI age
14 years
Enumerated 2011-08-11
Across 2078 active community/behavioral health providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1986069 02 | |
| 01 | 1467626358 | NPI 1 |
| 01 | 1216317 | CAQH |
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Jeri Kounce, Lpc, Llc.
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