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NPI Code Detail

MEDICARE: KRISTI SMITH LPC

MEDICARE: KRISTI SMITH LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2025027352MO

General Provider Information

NPI Number : 1013243179
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI SMITH LPC
Provider Business Mailing Address
First Line : 1226 INDEPENDENCE AVE
Second Line :
City : KENNETT
State : MO
Zip : 63857-1316
Country : US
Telephone Number : 573-559-2380
Fax Number :
Provider Business Practice Location Address
First Line : 1226 INDEPENDENCE AVE
Second Line :
City : KENNETT
State : MO
Zip : 63857-1316
Country : US
Telephone Number : 573-559-2380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2009
Last Update Date : 07/08/2025

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Directions to “ KRISTI SMITH LPC” Practice Location

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