Provider Demographics
NPI:1326429929
Name:KREJCI, COLLIN (MA, LPS-C)
Entity Type:Individual
Prefix:
First Name:COLLIN
Middle Name:
Last Name:KREJCI
Suffix:
Gender:M
Credentials:MA, LPS-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 TANSYL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2858
Mailing Address - Country:US
Mailing Address - Phone:210-462-6569
Mailing Address - Fax:
Practice Address - Street 1:384 TREELINE PARK APT 1713
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1861
Practice Address - Country:US
Practice Address - Phone:210-462-6569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70493101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional