Provider Demographics
NPI:1285934067
Name:CHEVALIER, KRISTYN MARIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:KRISTYN
Middle Name:MARIE
Last Name:CHEVALIER
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 1:25 UNION ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2331
Mailing Address - Country:US
Mailing Address - Phone:508-460-3502
Mailing Address - Fax:
Practice Address - Street 1:25 UNION ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-2331
Practice Address - Country:US
Practice Address - Phone:508-460-3502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health