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General NPI Number Information
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NPI Number | 1932283835
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Entity Type | Individual
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Provider Name | CRYSTAL MONIQUE KIRSCHMAN MA, LCPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 600 CENTRAL AVENUE SUITE 407
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City | GREAT FALLS
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State | MT
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Zip | 59401-3143
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Country | US
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Telephone | 406-952-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 802 GUMWOOD ST
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City | GREAT FALLS
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State | MT
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Zip | 59405-7924
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Country | US
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Telephone | 575-749-2057
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0168341
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12475
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License Number State | MT
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