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General NPI Number Information
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NPI Number | 1558189985
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Entity Type | Individual
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Provider Name | KRISTIN NICOLE CLEMENTS MS, LPC-A
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 7500 VISCOUNT BLVD STE 298
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City | EL PASO
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State | TX
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Zip | 79925-5638
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Country | US
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Telephone | 915-213-0589
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 HUECO VALLEY DR APT 2405
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City | EL PASO
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State | TX
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Zip | 79938-5432
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Country | US
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Telephone | 956-379-0848
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 94018
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License Number State | TX
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