Provider Demographics
NPI:1427211705
Name:HAIDER, KASHIF M (LPC)
Entity Type:Individual
Prefix:
First Name:KASHIF
Middle Name:M
Last Name:HAIDER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W CENTRAL TEXAS EXPY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2079
Mailing Address - Country:US
Mailing Address - Phone:254-953-3231
Mailing Address - Fax:254-953-3236
Practice Address - Street 1:100 W CENTRAL TEXAS EXPY
Practice Address - Street 2:SUITE 106
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2079
Practice Address - Country:US
Practice Address - Phone:254-953-3231
Practice Address - Fax:254-953-3236
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61710101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional