Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC005373 | PA |
NPI | 1003145863 |
---|---|
Provider Name | Kristen Ann Strohm |
First Address | Kittanning, PA 16201-2416 |
Second Address | Kittanning, PA 16201-2416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2009 |
Last Update Date | 08/12/2009 |