Individual
KRISTIN WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC, CR, MA
Contact information
Practice address
10979 REED HARTMAN HWY, BLUE ASH, OH 45242-2800
(937) 404-1084
Mailing address
7967 MILLWHEEL WAY, WEST CHESTER, OH 45069-2016
(937) 404-1084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1300308
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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