Provider Demographics
NPI:1518771039
Name:MCKENNA, KRISTIN ELIZABETH (LPC-A)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ELIZABETH
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:MCKENNA
Other - Last Name:DAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-A
Mailing Address - Street 1:1021 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-6936
Mailing Address - Country:US
Mailing Address - Phone:713-498-2490
Mailing Address - Fax:
Practice Address - Street 1:4949 CAROLINE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5701
Practice Address - Country:US
Practice Address - Phone:713-936-0633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87527103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling