| Doctor Name: | KRISTY EATON |
| NPI Number: | 1215278338 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2013005502 |
| Business Practice Address: | 3500 North Village Dr Suit 216 St Joseph, MO - 645064979 |
| Business Phone Number: | 6606635791 |
| Business Fax Number: | |
| Mailing Address: | 28227 177th Street, ALTAMONT |
| State: | MO |
| Postal Code: | 64620 |
| Phone Number: | 6606635791 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2013 |
| NPI Last Update Date: | 07/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2013005502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |