KRISTLE DEFORGE

BEVERLY, MA
NPI1932664455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  10912)
Enumeration Date2019-02-08
Last Update Date2019-02-08
Business Address
KRISTLE DEFORGE LMHC
100 CUMMINGS CTR STE 106B
BEVERLY, MA 01915-6105
Phone number: 978-594-6420
Mailing Address
KRISTLE DEFORGE LMHC
8A BUFFUM STREET EXT
SALEM, MA 01970-2329
Phone number: 603-520-8759