Provider Demographics
NPI:1346822293
Name:HASSELL, KRISTIN ALANA (LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ALANA
Last Name:HASSELL
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4138 SEAFARER AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-3584
Mailing Address - Country:US
Mailing Address - Phone:757-320-9558
Mailing Address - Fax:
Practice Address - Street 1:3603 COUNTY ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3103
Practice Address - Country:US
Practice Address - Phone:757-399-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty