Provider Demographics
NPI:1972118180
Name:AKERS, KRYSTYN ASHLEY (LGPC)
Entity Type:Individual
Prefix:
First Name:KRYSTYN
Middle Name:ASHLEY
Last Name:AKERS
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 KREEGER DR APT 210
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4466
Mailing Address - Country:US
Mailing Address - Phone:240-899-5910
Mailing Address - Fax:
Practice Address - Street 1:4350 E WEST HWY STE 201
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4492
Practice Address - Country:US
Practice Address - Phone:301-970-4099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10073101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional