Alston, Kristen

Alston, Kristen is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is her primary health care specialty. Alston, Kristen can be contacted via phone (601) 815-4778.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-4778
Fax: (601) 984-5420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 56994 Mississippi
Behavioral Health & Social Service Providers / Clinical 103TC0700X 56994 Mississippi
Behavioral Health & Social Service Providers / Health 103TH0004X 56994 Mississippi

Profile Details

NPI number 1760937817
LBN Legal business name Alston, Kristen
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2016
Last updated Oct 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760937817 NPPES
Mississippi MEDICAID 07224576

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