Individual
MRS. KELLY S ZENTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
19115 FM 2252 STE 15, GARDEN RIDGE, TX 78266
(210) 833-1900
(210) 281-5108
Mailing address
19115 FM 2252 STE 15, GARDEN RIDGE, TX 78266
(210) 833-1900
(210) 281-5108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17764
TX
101YM0800X
Mental Health Counselor
17764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017LK
BCBS NUMBER
TX
05
—
152081901
—
TX
Enumeration date
06/17/2006
Last updated
04/29/2019
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