Provider Demographics
NPI:1326778366
Name:MONACO, KRISTIN ELIZABETH (LAMFT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ELIZABETH
Last Name:MONACO
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:PIX
Other - Middle Name:
Other - Last Name:MONACO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAMFT
Mailing Address - Street 1:2541 FAIRHILL AVE REAR
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-3115
Mailing Address - Country:US
Mailing Address - Phone:610-200-8119
Mailing Address - Fax:
Practice Address - Street 1:520 CARPENTER LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-3453
Practice Address - Country:US
Practice Address - Phone:610-200-8119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X, 101YP2500X
PAAMF000007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional