Provider Demographics
NPI:1811248529
Name:HUNTZINGER, KRISTIN A (MS NCC LPC)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:A
Last Name:HUNTZINGER
Suffix:
Gender:F
Credentials:MS NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WASHINGTON ST
Mailing Address - Street 2:SUITE #100
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3915
Mailing Address - Country:US
Mailing Address - Phone:610-376-7144
Mailing Address - Fax:
Practice Address - Street 1:400 WASHINGTON ST
Practice Address - Street 2:SUITE #100
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3915
Practice Address - Country:US
Practice Address - Phone:610-376-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006113101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional