Provider Demographics
NPI:1275371734
Name:JAMES, KRISTEN (MACC, LCMHCA)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MACC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2122
Mailing Address - Country:US
Mailing Address - Phone:803-210-6760
Mailing Address - Fax:
Practice Address - Street 1:100 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2122
Practice Address - Country:US
Practice Address - Phone:803-210-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health