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General NPI Number Information
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NPI Number | 1265667489
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Entity Type | Individual
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Provider Name | CHRISTINE D ADDISON LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1451 NE 69TH PL STE 41
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City | ANKENY
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State | IA
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Zip | 50021-8905
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Country | US
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Telephone | 307-254-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 600 PARK AVE
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City | DES MOINES
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State | IA
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Zip | 50315-7639
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Country | US
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Telephone | 307-271-7306
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-073921
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License Number State | IA
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