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General NPI Number Information
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NPI Number | 1992047542
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Entity Type | Individual
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Provider Name | CRISTINA LYN SMOLENAK M.A., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 10 WEST RD # 1037
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City | NEWTOWN
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State | PA
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Zip | 18940-4301
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Country | US
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Telephone | 215-480-0658
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WEST ROAD BOX 1037
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City | SOUTHAMPTON
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State | PA
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Zip | 18966
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Country | US
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Telephone | 267-293-9247
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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 | 37PC01080800
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License Number State | NJ
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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 | PC006850
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License Number State | PA
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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 | PC006850
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License Number State | PA
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