Basic Information
| Provider Information | |||||||||
| NPI: | 1144558792 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOSEK | ||||||||
| FirstName: | KRISTI | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6210 102ND ST | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794248284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8064454190 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2032 82ND ST | ||||||||
| Address2: | STE 104 | ||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794232398 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8064454190 | ||||||||
| FaxNumber: | 8067483990 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2009 | ||||||||
| LastUpdateDate: | 04/08/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 63479 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.