Provider Demographics
NPI:1811054943
Name:STRALKOWSKI, KIRSTEN M (LPC, CAADC)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:M
Last Name:STRALKOWSKI
Suffix:
Gender:
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3836 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1304
Mailing Address - Country:US
Mailing Address - Phone:610-409-9978
Mailing Address - Fax:610-409-9978
Practice Address - Street 1:3836 CENTER AVE
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-1304
Practice Address - Country:US
Practice Address - Phone:610-409-9978
Practice Address - Fax:610-409-9978
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4079101YA0400X
PAPC001127101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2162729OtherC IGNA INSURANCE
PA349820000OtherMAGELLAN INSURANCE
PA7293395OtherAETNA INSURANCE
PA2318945000OtherPERSONAL CHOICE INSURANCE
PA303917OtherMHN INSURANCE
PA2318945000OtherAMERIHEALTH INSURANCE
PA349820000OtherKEYSTONE INSURANCE