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General NPI Number Information
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NPI Number | 1124495551
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Entity Type | Individual
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Provider Name | KRISTI MICHELLE WASHINGTON LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 2927 N POINT CIR STE 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-6811
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Country | US
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Telephone | 479-621-0301
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Fax | 479-899-6300
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Provider Business Mailing Address
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Address Line | 473400 E 604 RD
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City | WATTS
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State | OK
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Zip | 74964-6853
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Country | US
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Telephone | 620-212-2314
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Fax | 479-899-6300
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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 | P2005012
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License Number State | AR
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