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General NPI Number Information
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NPI Number | 1033606769
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE CRAIN MS LPCLMHC NCC CCMHC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 501 CHELE DR
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City | SAINT CHARLES
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State | MO
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Zip | 63304
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Country | US
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Telephone | 138-586-4652
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Fax |
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Provider Business Mailing Address
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Address Line | 501 CHELE DR
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City | SAINT CHARLES
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State | MO
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Zip | 63304-5516
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Country | US
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Telephone | 138-586-4652
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2018036210
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13547
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License Number State | FL
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