| Doctor Name: | MS. KRISTEN C MARX |
| NPI Number: | 1922244292 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CAGS, LMHC |
| License Number: | MC00393 |
| Business Practice Address: | 1058 Kingstown Rd Peace Dale, RI - 028792487 |
| Business Phone Number: | 4014404604 |
| Business Fax Number: | |
| Mailing Address: | Po Box 818, NEWPORT |
| State: | RI |
| Postal Code: | 028400010 |
| Phone Number: | 4014404604 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2008 |
| NPI Last Update Date: | 12/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC00393 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |