Provider Demographics
NPI:1003586603
Name:HREBEN, KRISTY (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:HREBEN
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:
Other - Last Name:SERDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58843 MEADOW CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MI
Mailing Address - Zip Code:48048-2116
Mailing Address - Country:US
Mailing Address - Phone:586-360-7663
Mailing Address - Fax:
Practice Address - Street 1:2 CROCKER BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-2528
Practice Address - Country:US
Practice Address - Phone:586-468-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)