Provider Demographics
NPI:1851867337
Name:KERR, DEBORAH B (MED, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:B
Last Name:KERR
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10259 FERRILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77808-9242
Mailing Address - Country:US
Mailing Address - Phone:979-571-1762
Mailing Address - Fax:888-248-0659
Practice Address - Street 1:1009 N EARL RUDDER FWY
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2959
Practice Address - Country:US
Practice Address - Phone:979-571-9552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74953101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional