Individual
MRS. KIRSTEN CHARLOTTE NORTHRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.M.F.T, LPC, LMFT
Contact information
Practice address
21015 MARKET RIDGE, STE. 101, SAN ANTONIO, TX 78258-4979
(210) 884-1419
(210) 496-0101
Mailing address
21015 MARKET RIDGE, STE. 101, SAN ANTONIO, TX 78258-4979
(210) 884-1419
(210) 496-0101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61536
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
10220
TX
106H00000X
Marriage & Family Therapist
202789
TX
Other
Enumeration date
05/17/2010
Last updated
07/08/2021
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