Provider Demographics
NPI:1477741676
Name:MERKEL, KRISTIN L (SCHOOL COUNSELOR)
Entity Type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:L
Last Name:MERKEL
Suffix:
Gender:F
Credentials:SCHOOL COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 N 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-3478
Mailing Address - Country:US
Mailing Address - Phone:602-242-2442
Mailing Address - Fax:602-242-2514
Practice Address - Street 1:4711 N 23RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-3478
Practice Address - Country:US
Practice Address - Phone:602-242-2442
Practice Address - Fax:602-242-2514
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool