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General NPI Number Information
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NPI Number | 1972447571
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Entity Type | Individual
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Provider Name | KRISTIN EMMA PEARSON
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1018 CENTRE AVE
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City | FORT COLLINS
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State | CO
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Zip | 80526-1849
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Country | US
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Telephone | 970-893-7600
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Fax | 970-692-2579
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Provider Business Mailing Address
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Address Line | 204 E LINCOLN AVE
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City | FORT COLLINS
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State | CO
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Zip | 80524-2518
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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 |
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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 | LPC.0023713
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License Number State | CO
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