Basic Information
| Provider Information | |||||||||
| NPI: | 1356545628 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRIPP | ||||||||
| FirstName: | KRISTEN | ||||||||
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| Credential: | M.S., LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 163 PLEASANT ST | ||||||||
| Address2: | |||||||||
| City: | DRACUT | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018264814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6178746396 | ||||||||
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| Practice Location | |||||||||
| Address1: | 119 RUSSELL ST | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014601274 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786791200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2007 | ||||||||
| LastUpdateDate: | 10/15/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 7153 | MA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.