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NPI 1689458135

NPI 1689458135 : KRISTIN STELZER LPC-ASSOCIATE : MIDLOTHIAN, TX

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General NPI Number Information
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    NPI Number           |    1689458135
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTIN STELZER LPC-ASSOCIATE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/23/2023
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    Last Update Date     |    08/25/2023
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Provider Practice Location Address
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    Address Line         |    5431 MONTGOMERY RD 
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    City                 |    MIDLOTHIAN
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    State                |    TX
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    Zip                  |    76065-4836
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    Country              |    US
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    Telephone            |    972-775-8966
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1116 W JEFFERSON ST 
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    City                 |    WAXAHACHIE
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    State                |    TX
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    Zip                  |    75165-2274
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    Country              |    US
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    Telephone            |    325-669-7276
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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       |    92308
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    License Number State |    TX
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