Provider Demographics
NPI:1124641253
Name:HAUGH, KRISTEN MARI (LPC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARI
Last Name:HAUGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 BICKER RD
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:PA
Mailing Address - Zip Code:16023-3402
Mailing Address - Country:US
Mailing Address - Phone:412-430-1858
Mailing Address - Fax:
Practice Address - Street 1:430 BICKER RD
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:PA
Practice Address - Zip Code:16023-3402
Practice Address - Country:US
Practice Address - Phone:412-430-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-23
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011399101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional