Provider Demographics
NPI:1710156831
Name:OHAIR, KEVIN MAX (LPC)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:MAX
Last Name:OHAIR
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 1:7201 W 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3905
Mailing Address - Country:US
Mailing Address - Phone:806-326-2610
Mailing Address - Fax:806-354-4397
Practice Address - Street 1:7201 W 35TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3905
Practice Address - Country:US
Practice Address - Phone:806-326-2610
Practice Address - Fax:806-354-4397
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60713101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor