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Individual
MS. KRISTIN MICHELE DEFOREST
Active
Individual
MS. KRISTIN MICHELE DEFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12465
PA
101YM0800X
Mental Health Counselor
Primary
12466
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101250539
—
PA
Enumeration date
03/31/2010
Last updated
04/18/2013
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