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General NPI Number Information
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NPI Number | 1578971479
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Entity Type | Individual
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Provider Name | KRISTY BURTON LPC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 2940 W SUNSET AVE STE D
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City | SPRINGDALE
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State | AR
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Zip | 72762-4974
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Country | US
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Telephone | 501-205-4570
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Fax | 888-305-8084
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Provider Business Mailing Address
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Address Line | PO BOX 2129
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City | BENTON
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State | AR
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Zip | 72018-2129
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Country | US
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Telephone | 501-205-4570
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Fax | 888-305-8084
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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 |
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License Number State |
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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 | 2022028840
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License Number State | MO
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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 | P1707327
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License Number State | AR
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