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NPI Code Detail

MEDICARE: KRISTY M DONALDSON

MEDICARE: KRISTY M DONALDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist
2101YP2500XProfessional Counselor63523TX
3103TF0200XForensic Psychologist
4101YM0800XMental Health Counselor63523TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093244147
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRISTY M DONALDSON
Provider Business Mailing Address
First Line : 510 N VALLEY MILLS DR STE 304
Second Line :
City : WACO
State : TX
Zip : 76710-6076
Country : US
Telephone Number : 254-262-3506
Fax Number : 254-262-3506
Provider Business Practice Location Address
First Line : 510 N VALLEY MILLS DR STE 304
Second Line :
City : WACO
State : TX
Zip : 76710-6076
Country : US
Telephone Number : 254-262-3506
Fax Number : 254-262-3506
Authorized Official
Title or Position : PHD, LPC-S, RPT-S
Name : KRISTY M DONALDSON
Credential :
Telephone Number : 254-262-3506
Provider Enumeration Date : 06/11/2017
Last Update Date : 03/16/2026

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1871867176 — MS. KRISTY M DONALDSON LPC
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76710-6076
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Practice Fax: 254-298-9431

Directions to “KRISTY M DONALDSON ” Practice Location

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