Provider Demographics
NPI:1700657988
Name:BECHARD, KRYSTAL (MHRT-CSP)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:
Last Name:BECHARD
Suffix:
Gender:F
Credentials:MHRT-CSP
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:
Other - Last Name:POISSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:180 ACADEMY ST STE 3
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-3183
Mailing Address - Country:US
Mailing Address - Phone:207-554-2352
Mailing Address - Fax:207-554-2351
Practice Address - Street 1:180 ACADEMY ST STE 2
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-3183
Practice Address - Country:US
Practice Address - Phone:888-568-1112
Practice Address - Fax:207-255-8748
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor