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Individual
KRISTEN HARTLEY
Active
Individual
KRISTEN HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14742
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A14742
—
NC
Enumeration date
03/27/2019
Last updated
08/06/2019
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