Provider Demographics
NPI:1417968702
Name:RIGGS, KERI PAGNA (LPC)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:PAGNA
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N COLLINS BLVD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3564
Mailing Address - Country:US
Mailing Address - Phone:214-796-7002
Mailing Address - Fax:214-292-9430
Practice Address - Street 1:1701 N COLLINS BLVD
Practice Address - Street 2:SUITE 126
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3564
Practice Address - Country:US
Practice Address - Phone:214-796-7002
Practice Address - Fax:214-292-9430
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13357101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13357OtherLICENSED PROF COUNSELOR