Provider Demographics
NPI:1629668470
Name:KRATSA, KRISTI DANIELLE (PHD, NCC, LPC)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:DANIELLE
Last Name:KRATSA
Suffix:
Gender:F
Credentials:PHD, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1970
Mailing Address - Country:US
Mailing Address - Phone:724-471-8400
Mailing Address - Fax:
Practice Address - Street 1:36 N 5TH ST
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1970
Practice Address - Country:US
Practice Address - Phone:724-757-6196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012611101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor