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NPI Code Detail

MEDICARE: KEIL RICKARDS DAVIS LPC

MEDICARE:   KEIL RICKARDS DAVIS  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor74484TX

General Provider Information

NPI Number : 1720565716
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEIL RICKARDS DAVIS LPC
Provider Business Mailing Address
First Line : 1118 BARKDULL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-6402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1118 BARKDULL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-6402
Country : US
Telephone Number : 832-318-0674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2018
Last Update Date : 07/23/2018

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Directions to “ KEIL RICKARDS DAVIS LPC” Practice Location

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