Provider Demographics
NPI:1932499282
Name:PARZANESE, KRISTINA VETTORI (MS, LPC, LSOTP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:VETTORI
Last Name:PARZANESE
Suffix:
Gender:F
Credentials:MS, LPC, LSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 LAKECREST DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-4338
Mailing Address - Country:US
Mailing Address - Phone:254-702-3458
Mailing Address - Fax:
Practice Address - Street 1:100 W CENTRAL TEXAS EXPY
Practice Address - Street 2:STE. 106
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2079
Practice Address - Country:US
Practice Address - Phone:254-953-3231
Practice Address - Fax:254-953-3236
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional