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Individual

DR. KRISTINA MATHEWS ACOSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, NCC, LPC, LCAS

Contact information

Practice address
10002 FARM POND RD, INDIAN TRAIL, NC 28079-5787
(704) 806-7535
Mailing address
10002 FARM POND RD, INDIAN TRAIL, NC 28079-5787
(704) 806-7535

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
7687
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
1527
NC
101YM0800X
Mental Health Counselor
7687
NC
101YP2500X
Professional Counselor
Primary
7687
NC
103TC1900X
Counseling Psychologist
7687
NC

Other

Enumeration date
04/16/2010
Last updated
01/31/2014
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