Individual provider · Type 1 NPI
Krista Lyn Dettle
Mental Health Counselor · Lake Hiawatha, NJ
NPI number
1699099689
Active
Practice location
38 Glenwood Ave
Lake Hiawatha, NJ 07034-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00059600 (NJ) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Lake Hiawatha
About NPI 1699099689
Krista Lyn Dettle's National Provider Identifier is 1699099689, issued on Mar 18, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Hiawatha, NJ. The record was last updated on Mar 18, 2010.