| Doctor Name: | KRISTIN ACTON |
| NPI Number: | 1003238585 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.S.W. |
| License Number: | S.1201168 |
| Business Practice Address: | 1051 E Street Lorain, OH - 440522134 |
| Business Phone Number: | 4402880448 |
| Business Fax Number: | 4402880997 |
| Mailing Address: | 1051 E Street, LORAIN |
| State: | OH |
| Postal Code: | 44052 |
| Phone Number: | 4402880448 |
| Fax Number: | 4402880997 |
| NPI Enumeration Date: | 01/17/2014 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | S.1201168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |