Provider Demographics
NPI:1083813513
Name:KERR, JOANNE (MED,LPC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 POPPY DR
Mailing Address - Street 2:#9012
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-4682
Mailing Address - Country:US
Mailing Address - Phone:214-384-5909
Mailing Address - Fax:
Practice Address - Street 1:9000 POPPY DR
Practice Address - Street 2:#9012
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-4682
Practice Address - Country:US
Practice Address - Phone:214-384-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-14
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15019101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional