| Jennifer J. Krock Pllc | |
|
1580 S Main St Ste 205 Boerne TX 78006-3311 | |
| (210) 920-5364 | |
| (830) 331-8747 |
| Full Name | Jennifer J. Krock Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1580 S Main St Ste 205, Boerne, Texas |
| Authorized Official Name and Position | Jennifer Janine Meadows (OWNER) |
| Authorized Official Contact | 2109205364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer J. Krock Pllc 1580 S Main St Ste 205 Boerne TX 78006-3311 Ph: (210) 920-5364 | Jennifer J. Krock Pllc 1580 S Main St Ste 205 Boerne TX 78006-3311 Ph: (210) 920-5364 |
| NPI Number | 1215443965 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215443965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 71194 (Texas) | Primary |
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