Provider Demographics
NPI:1821313040
Name:HASTER, KRISTYN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTYN
Middle Name:
Last Name:HASTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19751 E MAINSTREET STE 215
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7392
Mailing Address - Country:US
Mailing Address - Phone:303-841-4005
Mailing Address - Fax:
Practice Address - Street 1:19751 E MAINSTREET STE 215
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7392
Practice Address - Country:US
Practice Address - Phone:303-841-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO903106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist