Provider Demographics
NPI:1669547329
Name:WASHER, KRISTINA KAROL (LPC)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:KAROL
Last Name:WASHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3031 M 291 FRONTAGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2334
Mailing Address - Country:US
Mailing Address - Phone:816-373-9240
Mailing Address - Fax:816-373-9243
Practice Address - Street 1:3031 M 291 FRONTAGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2334
Practice Address - Country:US
Practice Address - Phone:816-373-9240
Practice Address - Fax:816-373-9243
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004028856101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional