Provider Demographics
NPI:1942570643
Name:URCIUOLI, KRISTIN JEAN (LMHC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:JEAN
Last Name:URCIUOLI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:JEAN
Other - Last Name:PASSANISI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:8 GOFF RD
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2135
Mailing Address - Country:US
Mailing Address - Phone:742-181-0207
Mailing Address - Fax:
Practice Address - Street 1:8 GOFF RD
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-2135
Practice Address - Country:US
Practice Address - Phone:774-218-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health