Amy E Anderson, LPC

Individual provider Active NPI Professional Counselor · Kerrville, TX

NPI 1497260822 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1497260822
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
73200 (TX)
Practice address
407 W Water St
Kerrville, TX 78028-4243
Phone
(210) 422-4077
Fax
(830) 890-5151
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
73200TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 73200 TX Yes

Addresses

Primary practice location

407 W Water St
Kerrville, TX 78028-4243

Mailing address

142 Woodland Ranch Rd
Boerne, TX 78015-8341
Phone (210) 422-4077

Other practice location 1

791 Backhaus Rd
Pipe Creek, TX 78063-5615
Phone (210) 422-4077

Other providers in Kerrville, TX

All providers in Kerrville, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.