Provider Demographics
NPI:1801321815
Name:HOWELL, KRISTA LYNN (BS)
Entity type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:LYNN
Last Name:HOWELL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MS
Other - First Name:KRISTA
Other - Middle Name:LYNN
Other - Last Name:JAREMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2500 BRANDYWINE DR
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-2391
Mailing Address - Country:US
Mailing Address - Phone:810-348-0775
Mailing Address - Fax:
Practice Address - Street 1:1110 ELDON BAKER DR
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1923
Practice Address - Country:US
Practice Address - Phone:810-232-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician