Individual provider · Type 1 NPI

Kristina Lynne Tetreault

Mental Health Counselor · Fairhaven, MA

NPI number 1790647725 Active

Practice location

36 Harvard St
Fairhaven, MA 02719-1735

Call (508) 863-7775 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X10002479 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1790647725

Kristina Lynne Tetreault's National Provider Identifier is 1790647725, issued on Nov 28, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairhaven, MA. The record was last updated on Nov 28, 2025.