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General NPI Number Information
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NPI Number | 1134075195
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Entity Type | Individual
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Provider Name | KRISTINA M. NELSON PHD, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 5959 S STAPLES ST STE 212
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-3844
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Country | US
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Telephone | 361-278-3597
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18009
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City | CORPUS CHRISTI
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State | TX
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Zip | 78480-8009
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Country | US
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Telephone | 361-278-3597
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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 | 95780
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License Number State | TX
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