Individual
KERRY MECUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(512) 689-7518
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(512) 689-7518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
55497
TX
Other
Enumeration date
03/01/2022
Last updated
04/01/2024
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