Provider Demographics
NPI:1811350366
Name:PLANO, KRISTINA ELAYNE (BA)
Entity type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:ELAYNE
Last Name:PLANO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1112 E. COPELAND ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011
Mailing Address - Country:US
Mailing Address - Phone:817-265-2344
Mailing Address - Fax:817-277-5610
Practice Address - Street 1:1112 E. COPELAND ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011
Practice Address - Country:US
Practice Address - Phone:817-265-2344
Practice Address - Fax:817-277-5610
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health