Provider Demographics
NPI:1194221135
Name:PAPPACENA, KRISTEN (LADC,LICSW)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:PAPPACENA
Suffix:
Gender:F
Credentials:LADC,LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CARMICHAEL ST UNIT 111
Mailing Address - Street 2:PMB #128
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3195
Mailing Address - Country:US
Mailing Address - Phone:802-404-2038
Mailing Address - Fax:
Practice Address - Street 1:4 CARMICHAEL ST UNIT 111
Practice Address - Street 2:PMB #128
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3195
Practice Address - Country:US
Practice Address - Phone:802-404-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health