Provider Demographics
NPI:1407378268
Name:ADDUCI, KRISTIN K (LMHC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:K
Last Name:ADDUCI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4043 MAPLE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1057
Mailing Address - Country:US
Mailing Address - Phone:716-523-8323
Mailing Address - Fax:716-689-2982
Practice Address - Street 1:4043 MAPLE RD STE 202
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1057
Practice Address - Country:US
Practice Address - Phone:716-523-8323
Practice Address - Fax:716-689-2982
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006365-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health