Provider Demographics
NPI:1639462658
Name:FRANKLIN, KRISTINA R (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:R
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-7862
Mailing Address - Country:US
Mailing Address - Phone:803-984-0916
Mailing Address - Fax:
Practice Address - Street 1:1787 PLEASANT RD
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-7862
Practice Address - Country:US
Practice Address - Phone:803-984-0916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5212101YP2500X
NC7735101YP2500X
NC1321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist