| Doctor Name: | MRS. KRISTY RENEE RONALD |
| NPI Number: | 1174875843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, NCC |
| License Number: | 6401012837 |
| Business Practice Address: | 12319 Highland Rd Suite 401 Hartland, MI - 483532946 |
| Business Phone Number: | 8104752005 |
| Business Fax Number: | |
| Mailing Address: | 14440 Bouchner Dr, LINDEN |
| State: | MI |
| Postal Code: | 484519709 |
| Phone Number: | 8102232510 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2012 |
| NPI Last Update Date: | 11/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401012837 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |