| Laura C Kerestly | |
|
542 Hickory St Ste 109 Abilene TX 79601-5002 | |
| (616) 240-2899 | |
| Not Available |
| Full Name | Laura C Kerestly |
|---|---|
| Speciality | Counselor |
| Location | 542 Hickory St Ste 109, Abilene, Texas |
| Authorized Official Name and Position | Laura C Kerestly (OWNER) |
| Authorized Official Contact | 6162402899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura C Kerestly 27 Cherry Hills E Abilene TX 79606-5114 Ph: (616) 240-2899 | Laura C Kerestly 542 Hickory St Ste 109 Abilene TX 79601-5002 Ph: (616) 240-2899 |
| NPI Number | 1578324315 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 1153764774 |
|---|---|
| Medicare Enrollment ID | O20240209002705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578324315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Laura Collins Kerestly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063898294 PECOS PAC ID: 6608219225 Enrollment ID: I20240209003435 |
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