Provider Demographics
NPI:1770212375
Name:HOFF, KRYSTAL D (LPC-A)
Entity Type:Individual
Prefix:MRS
First Name:KRYSTAL
Middle Name:D
Last Name:HOFF
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 STABLE VIS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-4392
Mailing Address - Country:US
Mailing Address - Phone:254-247-9008
Mailing Address - Fax:
Practice Address - Street 1:11220 W LOOP 1604 N STE 119
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-6600
Practice Address - Country:US
Practice Address - Phone:254-247-9008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88893101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional