Individual provider · Type 1 NPI
Kristina Blough Derderian, LPC
Professional Counselor · Richmond, VA
NPI number
1972039055
Active
Practice location
317 N Boulevard Apt 7
Richmond, VA 23220-4028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701006384 (VA) |
Professional Counselor: Definition to come...
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About NPI 1972039055
Kristina Blough Derderian, LPC's National Provider Identifier is 1972039055, issued on May 10, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richmond, VA. The record was last updated on May 10, 2017.