Wellformed AI

NPI 1306998471 · live from the CMS NPI Registry

Kristopher Staples

Marriage & Family Therapist in Nome, AK. National Provider Identifier 1306998471, active.

NPI record

NPI1306998471 Type 1 · individual
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice locationVhs Building, Nome, AK 99762
Practice phone907-443-4535
Mailing addressGeneral Delivery, Nome, AK 99762
EnumeratedJanuary 17, 2007
Last updatedOctober 4, 2010
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker104100000X—
Marriage & Family Therapist primary106H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.