Provider Demographics
NPI:1144054339
Name:HOAGLAND, KRISTIN (LPCC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:HOAGLAND
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 DECLARATION WAY APT 22
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-7975
Mailing Address - Country:US
Mailing Address - Phone:931-401-6989
Mailing Address - Fax:
Practice Address - Street 1:700 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2218
Practice Address - Country:US
Practice Address - Phone:270-904-0055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY294218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health