Individual provider · Type 1 NPI
Keegan Raine Trussell, LPC
Mental Health Counselor · Weatherford, TX
NPI number
1487321899
Active
Practice location
100 Austin Ave Ste 206
Weatherford, TX 76086-3382
Mailing address
100 Austin Ave
Weatherford, TX 76086-3372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 82505 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1487321899
Keegan Raine Trussell, LPC's National Provider Identifier is 1487321899, issued on Aug 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Weatherford, TX. The record was last updated on Aug 24, 2021.