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General NPI Number Information
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NPI Number | 1477198521
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Entity Type | Organization
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Legal Business Name | KRISTIN THOMPSON COUNSELING, LLC
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 1428 W HEBRON PKWY STE 135
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City | CARROLLTON
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State | TX
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Zip | 75010-6345
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Country | US
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Telephone | 512-468-9619
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 BRISCOE DR
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City | LANTANA
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State | TX
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Zip | 76226-2590
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Country | US
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Telephone | 512-468-9619
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | KRISTIN THOMPSON
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Credential | LCSW
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Telephone | 512-468-9619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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