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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XPC004572PAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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