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General NPI Number Information
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NPI Number | 1013702836
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Entity Type | Organization
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Legal Business Name | KRISTI CLEMENTS COUNSELING LLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 3606 KIMBALL AVE STE 16
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City | WATERLOO
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State | IA
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Zip | 50702-5731
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Country | US
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Telephone | 319-250-2729
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 KIMBALL AVE STE 16
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City | WATERLOO
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State | IA
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Zip | 50702-5731
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Country | US
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Telephone | 319-250-2729
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | KRISTI CLEMENTS
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Credential | LISW
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Telephone | 319-939-1968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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