Provider Demographics
NPI:1902944663
Name:DELANEY, KRISTIAN PATRICK (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:KRISTIAN
Middle Name:PATRICK
Last Name:DELANEY
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:966 W MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2483
Mailing Address - Country:US
Mailing Address - Phone:276-207-8321
Mailing Address - Fax:
Practice Address - Street 1:966 W MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2483
Practice Address - Country:US
Practice Address - Phone:276-207-8321
Practice Address - Fax:888-548-4146
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008289101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor