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General NPI Number Information
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NPI Number | 1144137829
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Entity Type | Organization
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Legal Business Name | KRISTA EDWARDS LCSW, THERAPY SERVICES
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 10731 COLLETTE AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-2923
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Country | US
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Telephone | 951-289-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 9825 MAGNOLIA AVE SUITE B382
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City | RIVERSIDE
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State | CA
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Zip | 92503-3562
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Country | US
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Telephone | 951-289-3440
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KRISTA LOUISE EDWARDS
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Credential | LCSW
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Telephone | 951-289-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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