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NPI 1205707262

NPI 1205707262 : KRISTI D MASSEY LPC-A : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1205707262
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTI D MASSEY LPC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2025
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    Last Update Date     |    09/15/2025
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Provider Practice Location Address
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    Address Line         |    5473 BLAIR RD STE 100 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-4227
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    Country              |    US
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    Telephone            |    940-945-7970
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26535 E UNIVERSITY DR APT 4104 
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    City                 |    AUBREY
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    State                |    TX
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    Zip                  |    76227-6509
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    Country              |    US
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    Telephone            |    940-945-7970
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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       |    98475
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    License Number State |    TX
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