Provider Demographics
NPI:1295935518
Name:CLAGGETT, KRISTIN NOELLE (MS, PLPC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:NOELLE
Last Name:CLAGGETT
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9378 OLIVE BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3215
Mailing Address - Country:US
Mailing Address - Phone:314-567-4994
Mailing Address - Fax:314-567-8581
Practice Address - Street 1:9378 OLIVE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:OLIVETTE
Practice Address - State:MO
Practice Address - Zip Code:63132-3215
Practice Address - Country:US
Practice Address - Phone:314-567-4994
Practice Address - Fax:314-567-8581
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health