Provider Demographics
NPI:1598259582
Name:KERNS, VERONICA LOPEZ (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LOPEZ
Last Name:KERNS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:IRIS
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:7911 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2601
Mailing Address - Country:US
Mailing Address - Phone:210-930-3669
Mailing Address - Fax:
Practice Address - Street 1:7911 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2601
Practice Address - Country:US
Practice Address - Phone:210-930-3669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72281101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor