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General NPI Number Information
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NPI Number | 1548862105
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Entity Type | Individual
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Provider Name | KRISTEN SUTTON
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 6218 GEORGIA AVENUE NW STE 1#554
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City | WASHINGTON
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State | DC
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Zip | 20011
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Country | US
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Telephone | 202-339-1452
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Fax |
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Provider Business Mailing Address
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Address Line | 1327 N CAREY ST
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City | BALTIMORE
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State | MD
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Zip | 21217-2706
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Country | US
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Telephone | 202-336-9626
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PCR20001956
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License Number State | DC
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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 | LC15473
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC15473
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License Number State | MD
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