Provider Demographics
NPI:1942871405
Name:HAMMOND, KRISTI F (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:F
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 NORMANDY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-1615
Mailing Address - Country:US
Mailing Address - Phone:806-274-8022
Mailing Address - Fax:
Practice Address - Street 1:26 NORMANDY DR
Practice Address - Street 2:
Practice Address - City:LAKE SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-1615
Practice Address - Country:US
Practice Address - Phone:806-274-8022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017039484101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional