| Doctor Name: | KRISTI JAN ELLIOTT |
| NPI Number: | 1093853848 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC-S |
| License Number: | 61460 |
| Business Practice Address: | 175 Lorne Rd Canyon Lake, TX - 781336042 |
| Business Phone Number: | 2818443286 |
| Business Fax Number: | |
| Mailing Address: | 175 Lorne Rd, CANYON LAKE |
| State: | TX |
| Postal Code: | 781336042 |
| Phone Number: | 2818443286 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 61460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |