| NPI | 1336512052 |
|---|---|
| Former Name | KRIS MUDD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2025-12-04 |