Provider Demographics
NPI:1306117858
Name:TOST, KRISTEN MICHELLE SWANGER (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:MICHELLE SWANGER
Last Name:TOST
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:MICHELLE
Other - Last Name:SWANGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1461 SW A AVE
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-4218
Mailing Address - Country:US
Mailing Address - Phone:541-250-0312
Mailing Address - Fax:
Practice Address - Street 1:1461 SW A AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-4218
Practice Address - Country:US
Practice Address - Phone:541-250-0312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-14
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor