Individual
JACK KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12501 TECH RIDGE BLVD APT 632, AUSTIN, TX 78753-1135
(414) 622-0241
Mailing address
12501 TECH RIDGE BLVD APT 632, AUSTIN, TX 78753-1135
(414) 622-0241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
78506
TX
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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