Provider Demographics
NPI:1912170036
Name:HEPLER, KRISTIN F (MED, LPC, NCC, LCAS)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:F
Last Name:HEPLER
Suffix:
Gender:F
Credentials:MED, LPC, NCC, LCAS
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 568
Mailing Address - Street 2:
Mailing Address - City:NEWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28126-0568
Mailing Address - Country:US
Mailing Address - Phone:704-547-1483
Mailing Address - Fax:704-547-0052
Practice Address - Street 1:10001 OLD CONCORD ROAD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213
Practice Address - Country:US
Practice Address - Phone:704-547-1483
Practice Address - Fax:704-547-0052
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC203665101Y00000X
NC6666101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor