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General NPI Number Information
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NPI Number | 1053078030
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Entity Type | Individual
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Provider Name | KRISTINE REBECCA TOWNSEND LPC
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Gender | Female
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 2104 COLLIER CORPORATE PKWY
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City | SAINT CHARLES
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State | MO
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Zip | 63303-6708
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Country | US
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Telephone | 636-262-6501
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Fax | 314-970-1901
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Provider Business Mailing Address
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Address Line | 215 ABINGTON DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-8179
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Country | US
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Telephone | 636-578-6326
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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 | 2021047110
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License Number State | MO
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