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General NPI Number Information
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NPI Number | 1184542797
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Entity Type | Organization
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Legal Business Name | KRISTA NORDGREN COUNSELING
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 1802 MARTIN LUTHER KING PKWY STE 205
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City | DURHAM
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State | NC
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Zip | 27707-3586
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Country | US
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Telephone | 919-423-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 3830 ZENITH PL
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City | DURHAM
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State | NC
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Zip | 27705-2118
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, COUNSELOR
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Name | KRISTA ANNE NORDGREN
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Credential | LCMHC
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Telephone | 919-423-0404
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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 |
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License Number State |
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