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NPI Code Detail

MEDICARE: DR. KRISTINA M. NELSON PHD, LPC, NCC

MEDICARE: DR. KRISTINA M. NELSON PHD, LPC, NCC
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
1101YM0800XMental Health Counselor95780TX

General Provider Information

NPI Number : 1134075195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTINA M. NELSON PHD, LPC, NCC
Provider Business Mailing Address
First Line : PO BOX 18009
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78480-8009
Country : US
Telephone Number : 361-278-3597
Fax Number :
Provider Business Practice Location Address
First Line : 5959 S STAPLES ST STE 212
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78413-3844
Country : US
Telephone Number : 361-278-3597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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