Provider Demographics
NPI:1053093187
Name:ROJAS, CRISTIN KATHLEEN
Entity type:Individual
Prefix:MS
First Name:CRISTIN
Middle Name:KATHLEEN
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HIDDEN ACRES LN
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4461
Mailing Address - Country:US
Mailing Address - Phone:610-213-8621
Mailing Address - Fax:
Practice Address - Street 1:20 HIDDEN ACRES LN
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-4461
Practice Address - Country:US
Practice Address - Phone:610-213-8621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4421101YM0800X
VT068.0000537101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health