Provider Demographics
NPI:1356741920
Name:HAYDEN, KRISTINA ELIZABETH (LPCC)
Entity type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:ELIZABETH
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 MICHAEL BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-9033
Mailing Address - Country:US
Mailing Address - Phone:502-320-8431
Mailing Address - Fax:
Practice Address - Street 1:460 MICHAEL BLVD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-9033
Practice Address - Country:US
Practice Address - Phone:502-320-8431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173335101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional