Provider Demographics
NPI:1639538804
Name:BARTON, KRISTINA (MHC, CASAC)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:MHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-1500
Mailing Address - Country:US
Mailing Address - Phone:845-674-6375
Mailing Address - Fax:
Practice Address - Street 1:72 WEST AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-1500
Practice Address - Country:US
Practice Address - Phone:845-674-6375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YA0400X
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)