Individual provider · Type 1 NPI
Avery Kesterson, LPC-ASSOCIATE
Professional Counselor · Southlake, TX
NPI number
1639764566
Active
Practice location
552 Silicon Dr Ste 101
Southlake, TX 76092-7526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 95323 (TX) |
Professional Counselor: Definition to come...
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About NPI 1639764566
Avery Kesterson, LPC-ASSOCIATE's National Provider Identifier is 1639764566, issued on Mar 3, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southlake, TX. The record was last updated on Jun 22, 2026.