Active NPIIndividual providerSole proprietor

Kristina L Tetreault

Counselor, Mental Health in Fairhaven, Massachusetts

NPI Number1790647725
Practice location
36 Harvard St, Fairhaven, MA 02719-1735
Fax
—
Last updated
November 28, 2025

Kristina Lynne Tetreault is a Counselor, Mental Health based in Fairhaven, MA. Kristina Lynne Tetreault practices in Fairhaven, MA. The NPI Number for Kristina Lynne Tetreault is 1790647725 and holds a License No. 10002479 (MA). The current practice location address for Kristina Lynne Tetreault is 36 Harvard St, Fairhaven, MA 02719-1735 and can be reached out via phone at 508-863-7775.

Provider Profile Details

NPI Number
1790647725
Provider Name
Kristina Lynne Tetreault
Provider Entity Type
Individual
Gender
Female
Address
36 Harvard St, Fairhaven, MA 02719-1735
Phone Number
508-863-7775
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2025
Last Update Date
November 28, 2025
Certification Date
November 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Harvard St
Fairhaven, MA 02719-1735
Zip
02719-1735
Phone Number
508-863-7775
Fairhaven, MA 02719Get directions →

Provider Business Mailing Address Details

Address
36 Harvard St
Fairhaven, MA 02719-1735
City
Fairhaven
State
MA
Zip
02719-1735
Phone Number
508-863-7775

License Information

License Number
10002479
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristina L Tetreault?

The NPI number of Kristina L Tetreault is 1790647725. It was assigned on November 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Kristina L Tetreault?

Kristina L Tetreault is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 10002479.

Where does Kristina L Tetreault practice?

The practice location is 36 Harvard St, Fairhaven, MA 02719-1735. The office can be reached at 508-863-7775 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790647725 directly on the NPPES registry website.

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