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General NPI Number Information
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NPI Number | 1477705523
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Entity Type | Individual
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Provider Name | KRISTINE I MITCHELL ND, LCPC, LMHC, CRC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 2081 W GRANGE AVE
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City | POST FALLS
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State | ID
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Zip | 83854-9659
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Country | US
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Telephone | 208-457-1999
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Fax | 208-981-3777
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Provider Business Mailing Address
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Address Line | 2081 W GRANGE AVE
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City | POST FALLS
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State | ID
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Zip | 83854-9659
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Country | US
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Telephone | 208-457-1999
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Fax | 208-981-3777
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0015567
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C5459
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11265674-6004
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-6117
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LCPC-6117
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60246926
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-38900
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License Number State | MT
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Taxonomy #8
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCPC-6117
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License Number State | ID
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