Provider Demographics
NPI:1457471849
Name:CARBONE, KRISTEN M (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:M
Last Name:CARBONE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:CARBONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:9 HASKELL LN
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-2955
Mailing Address - Country:US
Mailing Address - Phone:508-862-0600
Mailing Address - Fax:508-862-0590
Practice Address - Street 1:60 PERSEVERANCE WAY
Practice Address - Street 2:FAMILY CONTINUITY
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-862-0600
Practice Address - Fax:508-862-0590
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6112101YM0800X
FL8707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health