Provider Demographics
NPI:1114419140
Name:HATCHER, KRISTINA MARIE (LPCC, CDCA)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MARIE
Last Name:HATCHER
Suffix:
Gender:F
Credentials:LPCC, CDCA
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:MARIE
Other - Last Name:SABLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC, CDCA
Mailing Address - Street 1:6779 ORCHARD TRAIL RD NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-2526
Mailing Address - Country:US
Mailing Address - Phone:234-401-0012
Mailing Address - Fax:
Practice Address - Street 1:6779 ORCHARD TRAIL RD NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-2526
Practice Address - Country:US
Practice Address - Phone:234-401-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2202688101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health