Provider Demographics
NPI:1154821197
Name:BEHRENS, KRISTA JEAN (MSCP, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:JEAN
Last Name:BEHRENS
Suffix:
Gender:F
Credentials:MSCP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16026 HIGHWAY 183 S
Mailing Address - Street 2:
Mailing Address - City:RISING STAR
Mailing Address - State:TX
Mailing Address - Zip Code:76471-2423
Mailing Address - Country:US
Mailing Address - Phone:678-549-2146
Mailing Address - Fax:
Practice Address - Street 1:16026 HIGHWAY 183 S
Practice Address - Street 2:
Practice Address - City:RISING STAR
Practice Address - State:TX
Practice Address - Zip Code:76471-2423
Practice Address - Country:US
Practice Address - Phone:678-549-2146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor