| Doctor Name: | MS. KRISTIN YOLANDA MATTHEWS |
| NPI Number: | 1285073718 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PRC13922 |
| Business Practice Address: | 3402 Essex Rd Gwynn Oak, MD - 212074531 |
| Business Phone Number: | 4439046522 |
| Business Fax Number: | |
| Mailing Address: | 3402 Essex Rd, GWYNN OAK |
| State: | MD |
| Postal Code: | 212074531 |
| Phone Number: | 4439046522 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2013 |
| NPI Last Update Date: | 06/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PRC13922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |