Provider Demographics
NPI:1871901884
Name:ENGLISH, KRISTEN (MA, LPCC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16201 90TH ST NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OTSEGO
Mailing Address - State:MN
Mailing Address - Zip Code:55330-7463
Mailing Address - Country:US
Mailing Address - Phone:763-746-9492
Mailing Address - Fax:763-746-3685
Practice Address - Street 1:290 MAIN ST NW STE 140
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1272
Practice Address - Country:US
Practice Address - Phone:763-241-5870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00772101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health