Provider Demographics
NPI:1033320445
Name:WEBB, KIRSTEN SPRING (MED LADC LCPCC)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:SPRING
Last Name:WEBB
Suffix:
Gender:F
Credentials:MED LADC LCPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 FIELD ST STE 206
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6661
Mailing Address - Country:US
Mailing Address - Phone:207-338-2022
Mailing Address - Fax:207-338-9922
Practice Address - Street 1:9 FIELD ST STE 313
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915
Practice Address - Country:US
Practice Address - Phone:207-930-7000
Practice Address - Fax:207-338-9922
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC3604101YA0400X
MEXL3644101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)