Provider Demographics
NPI:1952572380
Name:TRIPP, KENDRA DONEEN (LPC)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:DONEEN
Last Name:TRIPP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 171
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0003
Mailing Address - Country:US
Mailing Address - Phone:972-415-6998
Mailing Address - Fax:
Practice Address - Street 1:2435 N CENTRAL EXPY
Practice Address - Street 2:SUITE 1200 PMB 1208
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2753
Practice Address - Country:US
Practice Address - Phone:972-415-6998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63846101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional