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Contact Information

KRISTAL L WOODBECK, LPC
805 CORYELL
LEAGUE CITY, TX77573
 Phone: 281-309-4373
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KRISTAL L WOODBECK · (Female)

NPI Number 1235119165
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 01/18/2006
Last updated 10/02/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 12626
  • TX Medicaid 112993401
  • TX Other 10009095 AMERIGROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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