Provider Demographics
NPI:1912476680
Name:KAUFFMAN, ERIN EVELYN (LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:EVELYN
Last Name:KAUFFMAN
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 1:6109 SHADOW VALLEY DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4154
Mailing Address - Country:US
Mailing Address - Phone:512-731-5814
Mailing Address - Fax:
Practice Address - Street 1:6109 SHADOW VALLEY DR UNIT B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4154
Practice Address - Country:US
Practice Address - Phone:512-731-5814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-25
Last Update Date:2018-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75912101YM0800X
TX74912101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health