Provider Demographics
NPI:1760071559
Name:KERR, CAROL MARY (LPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:MARY
Last Name:KERR
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 1:6000 N BROOKLINE AVE APT 45
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4346
Mailing Address - Country:US
Mailing Address - Phone:405-909-1000
Mailing Address - Fax:
Practice Address - Street 1:6000 N BROOKLINE AVE APT 45
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4346
Practice Address - Country:US
Practice Address - Phone:405-909-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor