Provider Demographics
NPI:1689379307
Name:HESKETT, KERI JOY (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:JOY
Last Name:HESKETT
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 E FM 4
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76031-8859
Mailing Address - Country:US
Mailing Address - Phone:940-867-3082
Mailing Address - Fax:
Practice Address - Street 1:1912 E FM 4
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76031-8859
Practice Address - Country:US
Practice Address - Phone:940-867-3082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TX90848101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor