Provider Demographics
NPI:1508309444
Name:VERGO, KRISTIN (MA, LMFT, LPC, LCMHC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:VERGO
Suffix:
Gender:F
Credentials:MA, LMFT, LPC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 HOLLY AVE NW
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101
Mailing Address - Country:US
Mailing Address - Phone:720-263-7386
Mailing Address - Fax:
Practice Address - Street 1:632 HOLLY AVE NW
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101
Practice Address - Country:US
Practice Address - Phone:720-263-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-26
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health