National Provider Identifier
Kristine Ann Grimes Bertelsen, LMHC
Kristine Ann Grimes Bertelsen, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 272-7247.
Profile Overview
- NPI
- 1497883193
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 02, 2007
- Last Updated
- July 08, 2007
Practice Location
- 415 N Tioga St
- Second Floor
- Ithaca, NY 14850-4228
Phone: (607) 272-7247
Mailing Address
- 1846 Trumansburg RD.
- P.O. Box 157
- Jacksonville, NY 14854-0157
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1497883193
- Entity Type
- Individual
- Last Name
- Bertelsen
- First Name
- Kristine
- Middle Name
- Ann Grimes
- Name Prefix
- MS.
- Credential
- LMHC
- Mailing Street Address
- 1846 Trumansburg RD.
- Mailing Address Line 2
- P.O. Box 157
- Mailing City
- Jacksonville
- Mailing State
- NY
- Mailing ZIP Code
- 14854-0157
- Mailing Country
- US
- Mailing Phone
- (607) 387-5828
- Practice Street Address
- 415 N Tioga St
- Practice Address Line 2
- Second Floor
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4228
- Practice Country
- US
- Practice Phone
- (607) 272-7247
- Enumeration Date
- March 02, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)