Provider Demographics
NPI:1972810919
Name:MALONEY, KRISTIN ANDREA (LPCMH, NCC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ANDREA
Last Name:MALONEY
Suffix:
Gender:F
Credentials:LPCMH, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 LIMESTONE ROAD
Mailing Address - Street 2:SUITE # 109 (NEW PERSPECTIVES, INC.)
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808
Mailing Address - Country:US
Mailing Address - Phone:302-489-0220
Mailing Address - Fax:302-489-0223
Practice Address - Street 1:2055 LIMESTONE ROAD
Practice Address - Street 2:SUITE # 109 (NEW PERSPECTIVES, INC.)
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5536
Practice Address - Country:US
Practice Address - Phone:302-489-0220
Practice Address - Fax:302-489-0223
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000509101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health