Provider Demographics
NPI:1639409956
Name:GARTNER, KRISTIN ANNE (LPC)
Entity Type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:ANNE
Last Name:GARTNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 GARRISONVILLE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1575
Mailing Address - Country:US
Mailing Address - Phone:540-658-0888
Mailing Address - Fax:540-658-0855
Practice Address - Street 1:306 GARRISONVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1575
Practice Address - Country:US
Practice Address - Phone:540-602-7615
Practice Address - Fax:540-628-0446
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor