| Kristle J Small Counseling Group | |
|
105 Darlington Ct New Providence PA 17560-9005 | |
| (856) 979-9769 | |
| Not Available |
| Full Name | Kristle J Small Counseling Group |
|---|---|
| Speciality | Counselor - Professional |
| Location | 105 Darlington Ct, New Providence, Pennsylvania |
| Authorized Official Name and Position | Kristle J. Small (LPC/OWNER) |
| Authorized Official Contact | 8569799769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristle J Small Counseling Group 105 Darlington Ct New Providence PA 17560-9005 Ph: (856) 979-9769 | Kristle J Small Counseling Group 105 Darlington Ct New Providence PA 17560-9005 Ph: (856) 979-9769 |
| NPI Number | 1508459363 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508459363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
T.w. Ponessa And Associates Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Truce Rd, New Providence, PA 17560 Phone: 717-786-3582 | |
Kristle J Small Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Darlington Ct, New Providence, PA 17560 Phone: 856-979-9769 |