Provider Demographics
NPI:1043431463
Name:KULPA, KRISTA (LPC)
Entity Type:Individual
Prefix:MS
First Name:KRISTA
Middle Name:
Last Name:KULPA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 ENFIELD STREET
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082
Mailing Address - Country:US
Mailing Address - Phone:860-745-7144
Mailing Address - Fax:860-745-7144
Practice Address - Street 1:707 ENFIELD STREET
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082
Practice Address - Country:US
Practice Address - Phone:860-745-7144
Practice Address - Fax:860-745-7144
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001570101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional