| Doctor Name: | MRS. JERI JO KOUNCE |
| NPI Number: | 1467626358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 61623 |
| Business Practice Address: | 4500 W Illinois Ave Suite 119a, Box 5 Midland, TX - 797035491 |
| Business Phone Number: | 4325534697 |
| Business Fax Number: | 4326942525 |
| Mailing Address: | 4500 W Illinois Ave, Suite 119a, Box 5 MIDLAND |
| State: | TX |
| Postal Code: | 797035491 |
| Phone Number: | 4325534697 |
| Fax Number: | 4326942525 |
| NPI Enumeration Date: | 04/22/2008 |
| NPI Last Update Date: | 03/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 61623 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |