Provider Demographics
NPI:1194923805
Name:GARRISON, KERRI KOCHEL (LPC)
Entity type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:KOCHEL
Last Name:GARRISON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:KERRI
Other - Middle Name:KOCHEL
Other - Last Name:GARRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1707 LINWOOD DR STE G
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-5365
Mailing Address - Country:US
Mailing Address - Phone:870-604-4455
Mailing Address - Fax:888-977-2956
Practice Address - Street 1:2420 LINWOOD DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450
Practice Address - Country:US
Practice Address - Phone:870-335-9985
Practice Address - Fax:870-236-5757
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0609057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional