Provider Demographics
NPI:1033946835
Name:SPANGLER, KERRIGAN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KERRIGAN
Middle Name:
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 VILLAGE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3283
Mailing Address - Country:US
Mailing Address - Phone:940-400-2743
Mailing Address - Fax:
Practice Address - Street 1:2600 VILLAGE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3283
Practice Address - Country:US
Practice Address - Phone:940-400-2743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95359101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor