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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 27659 (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.