Cousin, Kristin Marie

Cousin, Kristin Marie is an individual health care provider with primary practice located at 10102 Country Club Rd Se , Cumberland MD 21502-8339. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Cousin, Kristin Marie can be contacted via phone (301) 777-2285.

Contact Information

Primary practice address
10102 Country Club Rd Se Cumberland MD 21502-8339
Fax: (301) 777-5832
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC5026 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC5026 Maryland

Profile Details

NPI number 1952711368
LBN Legal business name Cousin, Kristin Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2014
Last updated May 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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