Organization
KRISTLE J SMALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTLE SMALL M.ED, LPC (LICENSED PROFESSIONAL COUNSELOR)
(856) 979-9769
Entity
Organization
Contact information
Practice address
105 DARLINGTON CT, NEW PROVIDENCE, PA 17560-9005
(856) 979-9769
Mailing address
105 DARLINGTON CT, NEW PROVIDENCE, PA 17560-9005
(856) 979-9769
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC007077
PA
Other
Enumeration date
11/17/2017
Last updated
09/23/2022
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