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NPI Code Detail

MEDICARE: KRISTIN MENA LCSW, PHD

MEDICARE:   KRISTIN  MENA  LCSW, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker69595TX

General Provider Information

NPI Number : 1730995689
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MENA LCSW, PHD
Provider Business Mailing Address
First Line : 4902 CHEENA DR
Second Line :
City : HOUSTON
State : TX
Zip : 77096-4222
Country : US
Telephone Number : 832-577-3247
Fax Number :
Provider Business Practice Location Address
First Line : 4902 CHEENA DR
Second Line :
City : HOUSTON
State : TX
Zip : 77096-4222
Country : US
Telephone Number : 832-577-3247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2024
Last Update Date : 12/05/2025

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Directions to “ KRISTIN MENA LCSW, PHD” Practice Location

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