Provider Demographics
NPI:1598997934
Name:MCCONNELL, KRISTIN (LPCC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:MCCONNELL
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 1:857 THIRLWALL CT
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2751
Mailing Address - Country:US
Mailing Address - Phone:614-804-4806
Mailing Address - Fax:
Practice Address - Street 1:240 S STATE ST
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2233
Practice Address - Country:US
Practice Address - Phone:614-804-4806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-19
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005280101YM0800X
PAPC007679101YP2500X
OHE.2303534101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor