Hendershot, Kirsten Pauline

Hendershot, Kirsten Pauline is an individual health care provider with primary practice located at 2538 Big Horn Ave , Cody WY 82414-9299. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hendershot, Kirsten Pauline can be contacted via phone (307) 587-3219.

Contact Information

Primary practice address
2538 Big Horn Ave Cody WY 82414-9299
Phone: (307) 587-3219
Fax: (307) 527-6218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC1527 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC10414 Arizona

Profile Details

NPI number 1659326528
LBN Legal business name Hendershot, Kirsten Pauline
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jun 4th, 2013 - about 13 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 1659326528 NPPES
Arizona Other 734766 AHCCCS

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