| Doctor Name: | KRISTINA MARIE CAMDEN |
| NPI Number: | 1114293842 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC-S |
| License Number: | E.0800503 |
| Business Practice Address: | 700 Park Ave Ironton, OH - 456381502 |
| Business Phone Number: | 7405321613 |
| Business Fax Number: | 7405321715 |
| Mailing Address: | Po Box 108, IRONTON |
| State: | OH |
| Postal Code: | 456380108 |
| Phone Number: | 7405321613 |
| Fax Number: | 7405321715 |
| NPI Enumeration Date: | 03/27/2012 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.0800503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |