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General NPI Number Information
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NPI Number | 1699030437
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Entity Type | Organization
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Legal Business Name | KRISTEN MENZEL, LPC
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 240 E RENFRO ST SUITE 201
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City | BURLESON
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State | TX
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Zip | 76028-3938
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Country | US
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Telephone | 254-734-6133
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E RENFRO ST SUITE 201
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City | BURLESON
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State | TX
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Zip | 76028-3938
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | KRISTEN MENZEL
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Credential | LPC
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Telephone | 254-734-6133
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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 | 66478
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License Number State | TX
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