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NPI Code Detail

MEDICARE: LEO KERR LPC

MEDICARE: LEO KERR 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
1101YP2500XProfessional Counselor63855TX

General Provider Information

NPI Number : 1558699058
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEO KERR LPC
Provider Business Mailing Address
First Line : 1430 COLLIER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2911
Country : US
Telephone Number : 512-472-4357
Fax Number : 512-703-1394
Provider Business Practice Location Address
First Line : 3000 OAK SPGS
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2531
Country : US
Telephone Number : 512-804-3555
Fax Number : 512-804-3590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2009
Last Update Date : 11/23/2009

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Directions to “ LEO KERR LPC” Practice Location

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