Provider Demographics
NPI:1093536864
Name:HARPER, KRYSTIN (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:KRYSTIN
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4618 31ST RD S
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1602
Mailing Address - Country:US
Mailing Address - Phone:802-272-0227
Mailing Address - Fax:
Practice Address - Street 1:3 WASHINGTON CIR NW STE 204
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2326
Practice Address - Country:US
Practice Address - Phone:202-644-8889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC200002194101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor