Kulesza, Krista

Kulesza, Krista is an individual health care provider with primary practice located at 305 Miron Dr , Southlake TX 76092-7831. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kulesza, Krista can be contacted via phone (682) 554-2946.

Contact Information

Primary practice address
305 Miron Dr Southlake TX 76092-7831
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 33605 Texas

Profile Details

NPI number 1992994313
LBN Legal business name Kulesza, Krista
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Feb 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992994313 NPPES
Texas Other 33605 STATE LICENSE

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