Doctor Name: | KRISTIE MENEGHINI |
NPI Number: | 1053639633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 63286 |
Business Practice Address: | 145 Landa St New Braunfels, TX - 781307929 |
Business Phone Number: | 5126182212 |
Business Fax Number: | |
Mailing Address: | Po Box 488, SAN MARCOS |
State: | TX |
Postal Code: | 786670488 |
Phone Number: | 5126182212 |
Fax Number: | 5125974336 |
NPI Enumeration Date: | 05/06/2010 |
NPI Last Update Date: | 05/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |