Healthcare Provider Details

I. General information

NPI: 1053238261
Provider Name (Legal Business Name): KIRSTEN MARIE AURBAKKEN LPC-ASSOCIATE, M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E MID CITIES BLVD APT 714
EULESS TX
76039-4648
US

IV. Provider business mailing address

750 E MID CITIES BLVD APT 714
EULESS TX
76039-4648
US

V. Phone/Fax

Practice location:
  • Phone: 817-791-2706
  • Fax:
Mailing address:
  • Phone: 817-791-2706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number102799
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: