Provider Demographics
NPI:1871744177
Name:GENO, KRIS L (MA)
Entity type:Individual
Prefix:
First Name:KRIS
Middle Name:L
Last Name:GENO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 1/2 BEACON STREET
Mailing Address - Street 2:SUITE 155 RTT ASSOCIATES
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-545-9042
Mailing Address - Fax:603-715-5700
Practice Address - Street 1:2 1/2 BEACON ST
Practice Address - Street 2:SUITE 155
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4447
Practice Address - Country:US
Practice Address - Phone:603-545-9042
Practice Address - Fax:603-715-5700
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH720101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health