Provider Demographics
NPI:1982390860
Name:FEATHERSTON, KRISTINA GISELA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:GISELA
Last Name:FEATHERSTON
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 1:9410 TARTAN MANOR ST
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5189
Mailing Address - Country:US
Mailing Address - Phone:713-364-3455
Mailing Address - Fax:
Practice Address - Street 1:9410 TARTAN MANOR ST
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5189
Practice Address - Country:US
Practice Address - Phone:713-364-3455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional