Provider Demographics
NPI:1235354275
Name:STANESCU, KRISTA (LPCC)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:STANESCU
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 E WILSON BRIDGE RD
Mailing Address - Street 2:STE C4
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2362
Mailing Address - Country:US
Mailing Address - Phone:614-635-5045
Mailing Address - Fax:614-841-9166
Practice Address - Street 1:75 E WILSON BRIDGE RD
Practice Address - Street 2:STE C4
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2362
Practice Address - Country:US
Practice Address - Phone:614-635-5045
Practice Address - Fax:614-841-9166
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE4234101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor