Doctor Name: | KRISTEN MERCADANTE |
NPI Number: | 1013341981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 919 E 2nd St Sanford, FL - 327712101 |
Business Phone Number: | 4073232036 |
Business Fax Number: | |
Mailing Address: | 919 E 2nd St, SANFORD |
State: | FL |
Postal Code: | 327712101 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/28/2013 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |