Provider Demographics
NPI:1407498025
Name:WEBB, KRISTIANE (MS, LPC)
Entity type:Individual
Prefix:
First Name:KRISTIANE
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4322 COLGATE LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-5900
Mailing Address - Country:US
Mailing Address - Phone:972-971-1526
Mailing Address - Fax:
Practice Address - Street 1:4322 COLGATE LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5900
Practice Address - Country:US
Practice Address - Phone:972-971-1526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78128101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty