Provider Demographics
NPI:1891346631
Name:HORST, KRISTI LYNNE
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:LYNNE
Last Name:HORST
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KRISTI
Other - Middle Name:LYNNE
Other - Last Name:KOERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 A STE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3454
Mailing Address - Country:US
Mailing Address - Phone:907-341-7798
Mailing Address - Fax:
Practice Address - Street 1:1130 W 6TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-1903
Practice Address - Country:US
Practice Address - Phone:907-901-0191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-24
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
AK149921101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor