Basic Information
Provider Information | |||||||||
NPI: | 1649477480 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | STEINOUR | ||||||||
FirstName: | KRISTINE | ||||||||
MiddleName: | LYNN | ||||||||
NamePrefix: | MRS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | LPC | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | KASHURBA - STEINOUR | ||||||||
OtherFirstName: | KRISTINA | ||||||||
OtherMiddleName: | LYNN | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 176 S COLDBROOK AVE | ||||||||
Address2: | UNIT 2 | ||||||||
City: | CHAMBERSBURG | ||||||||
State: | PA | ||||||||
PostalCode: | 172012714 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7172677480 | ||||||||
FaxNumber: | 7172677403 | ||||||||
Practice Location | |||||||||
Address1: | 176 S. COLDBROOK AVENUE | ||||||||
Address2: | UNIT 2 | ||||||||
City: | CHAMBERSBURG | ||||||||
State: | PA | ||||||||
PostalCode: | 172112714 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7172677480 | ||||||||
FaxNumber: | 7172677403 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/27/2007 | ||||||||
LastUpdateDate: | 04/01/2015 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PC004572 | PA | Y |   | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.