| Doctor Name: | KRISTINA M. JENNINGS |
| NPI Number: | 1023357167 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 67266 |
| Business Practice Address: | 305 Regency Pkwy Suite #601 Mansfield, TX - 760633794 |
| Business Phone Number: | 4093633469 |
| Business Fax Number: | 8175390498 |
| Mailing Address: | 305 Regency Pkwy, Suite #601 MANSFIELD |
| State: | TX |
| Postal Code: | 760633794 |
| Phone Number: | 4093633469 |
| Fax Number: | 8175390498 |
| NPI Enumeration Date: | 02/09/2013 |
| NPI Last Update Date: | 02/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 67266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |