Healthcare Provider Details

I. General information

NPI: 1376793067
Provider Name (Legal Business Name): KRISTIN NICOLE WITTE-HUBBARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 S PANNA MARIA AVE
KARNES CITY TX
78118-3808
US

IV. Provider business mailing address

310 W OAKLAWN RD
PLEASANTON TX
78064-4033
US

V. Phone/Fax

Practice location:
  • Phone: 830-569-8940
  • Fax: 830-569-8345
Mailing address:
  • Phone: 830-569-8940
  • Fax: 830-569-8345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number60872
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number60872
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: