Doctor Name: | MS. KRISTA KULPA |
NPI Number: | 1043431463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 001570 |
Business Practice Address: | 707 Enfield Street Enfield, CT - 06082 |
Business Phone Number: | 8607457144 |
Business Fax Number: | 8607457144 |
Mailing Address: | 707 Enfield Street, ENFIELD |
State: | CT |
Postal Code: | 06082 |
Phone Number: | 8607457144 |
Fax Number: | 8607457144 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 05/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 001570 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |