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NPI 1588587596

NPI 1588587596 : KRISTA EDWARDS, LCSW THERAPY SERVICES : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1588587596
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRISTA EDWARDS, LCSW THERAPY SERVICES 
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Dates
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    Enumeration Date     |    08/04/2026
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    Last Update Date     |    08/04/2026
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Provider Practice Location Address
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    Address Line         |    10731 COLLETT AVE 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92505
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    Country              |    US
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    Telephone            |    951-289-3440
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9825 MAGNOLIA AVE SUITE B#382 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92503
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    Country              |    US
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    Telephone            |    951-289-3440
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST/ BUSINESS OWNER
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    Name                 |    MRS. KRISTA LOUISE EDWARDS 
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    Credential           |    LCSW
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    Telephone            |    951-289-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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