| Kristines Korner Pllc | |
|
3402 Marlark Pass San Antonio TX 78261-2712 | |
| (210) 632-9381 | |
| (800) 526-6590 |
| Full Name | Kristines Korner Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3402 Marlark Pass, San Antonio, Texas |
| Authorized Official Name and Position | Kristine Benson (LPC/OWNER) |
| Authorized Official Contact | 2106329381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristines Korner Pllc 3402 Marlark Pass San Antonio TX 78261-2712 Ph: (210) 632-9381 | Kristines Korner Pllc 3402 Marlark Pass San Antonio TX 78261-2712 Ph: (210) 632-9381 |
| NPI Number | 1659199826 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 0345774626 |
|---|---|
| Medicare Enrollment ID | O20241108001490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659199826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kristine M Benson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114514189 PECOS PAC ID: 5092157842 Enrollment ID: I20240523004175 |
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