Doctor Name: | KRISTIN NOELLE CLAGGETT |
NPI Number: | 1295935518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., P.L.P.C. |
License Number: | |
Business Practice Address: | 9378 Olive Blvd Suite 106 Olivette, MO - 631323215 |
Business Phone Number: | 3145674994 |
Business Fax Number: | 3145678581 |
Mailing Address: | 9378 Olive Blvd, Suite 106 OLIVETTE |
State: | MO |
Postal Code: | 631323215 |
Phone Number: | 3145674994 |
Fax Number: | 3145678581 |
NPI Enumeration Date: | 07/24/2007 |
NPI Last Update Date: | 11/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |