Provider Demographics
NPI:1164185872
Name:SKOWRONSKI, KRISTEN (LMFT-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:SKOWRONSKI
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10655 SIX PINES DR STE 150
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3432
Mailing Address - Country:US
Mailing Address - Phone:346-370-0028
Mailing Address - Fax:
Practice Address - Street 1:10655 SIX PINES DR STE 150
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3432
Practice Address - Country:US
Practice Address - Phone:346-370-0028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204184106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist