| Doctor Name: | MS. KATHRYN RENEE KANTOR |
| NPI Number: | 1982985081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC-S, NCC |
| License Number: | 61241 |
| Business Practice Address: | 4891 Masch Branch Rd Apartment 176 Krum, TX - 762497585 |
| Business Phone Number: | 9406429195 |
| Business Fax Number: | 9402934880 |
| Mailing Address: | 6815 Forest Grv, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782403319 |
| Phone Number: | 9406429195 |
| Fax Number: | 2108779284 |
| NPI Enumeration Date: | 09/01/2011 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 61241 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |