| Jeri Kounce, Lpc, Llc | |
|
1030 Andrews Hwy Suite 203-b Midland TX 79701-3872 | |
| (432) 553-4697 | |
| (432) 694-2525 |
| Full Name | Jeri Kounce, Lpc, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1030 Andrews Hwy, Midland, Texas |
| Authorized Official Name and Position | Jeri Jo Kounce (COUNSELOR/OWNER) |
| Authorized Official Contact | 4325534697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeri Kounce, Lpc, Llc 1030 Andrews Hwy Suite 203-b Midland TX 79701-3872 Ph: (432) 553-4697 | Jeri Kounce, Lpc, Llc 1030 Andrews Hwy Suite 203-b Midland TX 79701-3872 Ph: (432) 553-4697 |
| NPI Number | 1962781682 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 08/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962781682 | NPI | - | NPPES |
| 1986069 02 | Medicaid | TX | |
| 1467626358 | Other | NPI 1 | |
| 1216317 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 61623 (Texas) | Primary |
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