Provider Demographics
NPI:1255627642
Name:HUMBER, KRISTEN L (MS, LMHC)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:L
Last Name:HUMBER
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-6920
Mailing Address - Country:US
Mailing Address - Phone:781-641-5992
Mailing Address - Fax:781-641-5997
Practice Address - Street 1:34 WINTER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-6920
Practice Address - Country:US
Practice Address - Phone:781-641-5992
Practice Address - Fax:781-641-5997
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7474101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health