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NPI 1063143139

NPI 1063143139 : KRISTEN WRIGHT-CHRISTENSEN LCMHC : PAYSON, UT

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General NPI Number Information
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    NPI Number           |    1063143139
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTEN WRIGHT-CHRISTENSEN LCMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2022
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    Last Update Date     |    02/11/2025
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Provider Practice Location Address
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    Address Line         |    1169 S 600 E 
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    City                 |    PAYSON
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    State                |    UT
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    Zip                  |    84651-4561
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    Country              |    US
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    Telephone            |    801-864-0801
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1757 N MAIN ST 
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    City                 |    GENOLA
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    State                |    UT
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    Zip                  |    84655-5091
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    Country              |    US
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    Telephone            |    801-830-9454
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    12896522-6009
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    License Number State |    UT
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