Individual provider · Type 1 NPI

Keith Fitzgerald Hergenhahn, LCSW

Professional Counselor · Austin, TX

NPI number 1477569168 Active

Practice location

5750 Balcones Dr
Austin, TX 78731-4252

Fax (512) 472-4009

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X27659 (TX)

Professional Counselor: Definition to come...

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About NPI 1477569168

Keith Fitzgerald Hergenhahn, LCSW's National Provider Identifier is 1477569168, issued on Aug 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.