Provider Demographics
NPI:1306640347
Name:PADRON, KRISTINA LYNNE (MHC-LP)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:LYNNE
Last Name:PADRON
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:LYNNE
Other - Last Name:PADRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHC-LP
Mailing Address - Street 1:13430 SITKA ST
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2436
Mailing Address - Country:US
Mailing Address - Phone:347-403-2102
Mailing Address - Fax:
Practice Address - Street 1:13430 SITKA ST
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-2436
Practice Address - Country:US
Practice Address - Phone:347-403-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP134342101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health