Provider Demographics
NPI:1851025910
Name:ROSS, KRISTIN ASHLEY MCDANIEL (LMFT-S)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ASHLEY MCDANIEL
Last Name:ROSS
Suffix:
Gender:F
Credentials:LMFT-S
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:ASHLEY
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:633 W CENTERVILLE RD STE 314
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-5469
Mailing Address - Country:US
Mailing Address - Phone:214-702-1310
Mailing Address - Fax:
Practice Address - Street 1:633 W CENTERVILLE RD STE 314
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5469
Practice Address - Country:US
Practice Address - Phone:214-702-1310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO106H00000X
TX203703106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist