Doctor Name: | MR. KEVIN DAVID BARROW |
NPI Number: | 1033125331 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 14429 |
Business Practice Address: | 1205 N State Highway 123 Ste 302 San Marcos, TX - 786667756 |
Business Phone Number: | 5123967241 |
Business Fax Number: | 5127540448 |
Mailing Address: | 1205 N State Highway 123, Ste 302 SAN MARCOS |
State: | TX |
Postal Code: | 786667756 |
Phone Number: | 5123967241 |
Fax Number: | 5127540448 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 14429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |