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General NPI Number Information
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NPI Number | 1770907248
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Entity Type | Individual
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Provider Name | KRIS F WILLIAMS-FALCON PHD, CPASTC, MSW,SAC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 207 WIND SWEPT ST
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City | RAEFORD
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State | NC
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Zip | 28376-9279
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Country | US
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Telephone | 912-988-1908
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Fax | 877-519-9597
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Provider Business Mailing Address
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Address Line | 5660 HANCOCK STREET
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City | HOPE MILLS
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State | NC
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Zip | 28348-9279
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Country | US
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Telephone | 912-988-1908
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Fax | 877-519-9594
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 02155627 DUAL
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 02155627
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License Number State | GA
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 960065254
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 80056542
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 02155627
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 02155627 DUAL
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License Number State | GA
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Taxonomy #8
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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 #9
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 21418975
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License Number State | NC
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