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General NPI Number Information
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NPI Number | 1548837230
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Entity Type | Individual
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Provider Name | CRYSTALYN MARIE JASS KIRKPATRICK M.ED., NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3801 N CAPITAL OF TX HWY STE E-240 PMB 1003
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City | AUSTIN
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State | TX
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Zip | 78746-1313
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Country | US
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Telephone | 512-967-6783
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Fax | 512-886-7578
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Provider Business Mailing Address
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Address Line | 3801 N CAPITAL OF TX HWY STE E-240 PMB 1003
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City | AUSTIN
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State | TX
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Zip | 78746-1313
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Country | US
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Telephone | 512-967-6783
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Fax | 512-886-7578
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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 | 80959
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License Number State | TX
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