Kristie Marie Hale, LMFT
Individual provider Active NPI Marriage & Family Therapist · Jefferson Cty, MO
NPI 1013479567 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1013479567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 3220 Michaels Rd
Jefferson Cty, MO 65101-9799 - Phone
- (573) 291-7772
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024012933 | MO | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2024012933 | MO | |
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
3220 Michaels Rd
Jefferson Cty, MO 65101-9799
Mailing address
3220 Michaels Rd
Jefferson Cty, MO 65101-9799
Phone (573) 291-7772
Other providers in Jefferson Cty, MO
- Allison F Bax
- Marki Burnett
- Burns Optical
- Daniel Crider
- Honor Care Network Central, LLC
- Elizabeth Kaganda Jackson
- Steven J Judge
- Joseph Lobue
- Luxottica Retail North America Inc
All providers in Jefferson Cty, MO · Marriage & Family Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.