Organization
JERI KOUNCE, LPC, LLC
Active
Parent organization
JERI KOUNCE, LPC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JERI KOUNCE, LPC, LLC
Authorized official
MRS. JERI JO KOUNCE LPC (COUNSELOR/OWNER)
(432) 553-4697
Entity
Organization
Contact information
Practice address
1030 ANDREWS HWY, SUITE 203-B, MIDLAND, TX 79701-3872
(432) 553-4697
(432) 694-2525
Mailing address
1030 ANDREWS HWY, SUITE 203-B, MIDLAND, TX 79701-3872
(432) 553-4697
(432) 694-2525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
61623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1216317
CAQH
—
01
—
1467626358
NPI 1
—
05
—
1986069 02
—
TX
Enumeration date
08/11/2011
Last updated
08/11/2011
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