Provider Demographics
NPI:1124531124
Name:DYGULSKI, KRISTINA LEE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:LEE
Last Name:DYGULSKI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 PALM BEACH LAKES BOULEVARD, SUITE 1203
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2204
Mailing Address - Country:US
Mailing Address - Phone:561-351-6227
Mailing Address - Fax:864-990-0653
Practice Address - Street 1:1645 PALM BEACH LAKES BOULEVARD, SUITE 1203
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2204
Practice Address - Country:US
Practice Address - Phone:561-351-6227
Practice Address - Fax:864-288-7978
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
FLMH14925101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)