Provider Demographics
NPI:1376868778
Name:MORRISON, KRISTI LAJUAN (NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:LAJUAN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 S LOOP W
Mailing Address - Street 2:SUITE 255
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2665
Mailing Address - Country:US
Mailing Address - Phone:281-581-8816
Mailing Address - Fax:832-581-3234
Practice Address - Street 1:2646 S LOOP W
Practice Address - Street 2:SUITE 255
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2665
Practice Address - Country:US
Practice Address - Phone:281-581-8816
Practice Address - Fax:832-581-3234
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61458101YP2500X
TX101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX285403601Medicaid