Provider Demographics
NPI:1750608014
Name:DRUMMOND, KRISTY DAWN (LPC)
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:DAWN
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:HEFLIN
Mailing Address - State:AL
Mailing Address - Zip Code:36264-0591
Mailing Address - Country:US
Mailing Address - Phone:256-454-4466
Mailing Address - Fax:
Practice Address - Street 1:200 GLEN EAGLE CT STE 1A
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-4267
Practice Address - Country:US
Practice Address - Phone:256-454-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2022-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2829101YM0800X
GALPC007349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health