Provider Demographics
NPI:1922383876
Name:STRONG, KRISTINA THERESE (PHD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:THERESE
Last Name:STRONG
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 N DIVISION ST
Mailing Address - Street 2:STE 602
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1600
Mailing Address - Country:US
Mailing Address - Phone:509-710-8626
Mailing Address - Fax:509-279-2972
Practice Address - Street 1:4407 N DIVISION ST
Practice Address - Street 2:STE 602
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1600
Practice Address - Country:US
Practice Address - Phone:509-710-8626
Practice Address - Fax:509-279-2972
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60303209101YM0800X
IDLPC-4125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health