National Provider Identifier

Kristen Alem Debenedetto

Kristen Alem Debenedetto is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Victor, NY and a listed phone number of (585) 398-8835.

NPI 1205239035Victor, NYMental Health Counselor

Profile Overview

NPI
1205239035
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 07, 2014
Last Updated
November 13, 2023

Practice Location

  • 6539 Anthony Dr Ste A
  • Victor, NY 14564-1441

Phone: (585) 398-8835

Mailing Address

  • 75 N Mountain RD
  • New Britain, CT 06053-3468

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1205239035
Entity Type
Individual
Last Name
Debenedetto
First Name
Kristen
Middle Name
Alem
Name Prefix
Mrs.
Provider Other Last Name
Miller
Provider Other First Name
Kristen
Provider Other Middle Name
Alem
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
75 N Mountain RD
Mailing City
New Britain
Mailing State
CT
Mailing ZIP Code
06053-3468
Mailing Country
US
Mailing Phone
(860) 224-6300
Practice Street Address
6539 Anthony Dr Ste A
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-1441
Practice Country
US
Practice Phone
(585) 398-8835
Practice Fax
(585) 398-7376
Enumeration Date
October 07, 2014
Last Updated
November 13, 2023
Sex
Female
Sole Proprietor
No
Certification Date
November 13, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)