Provider Demographics
NPI:1174341200
Name:OVERTON-HADNOT, KEVIN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:OVERTON-HADNOT
Suffix:
Gender:M
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 1:908 SAWBUCK DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4615
Mailing Address - Country:US
Mailing Address - Phone:512-751-8427
Mailing Address - Fax:
Practice Address - Street 1:908 SAWBUCK DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4615
Practice Address - Country:US
Practice Address - Phone:512-751-8427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91880101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health