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NPI Code Detail

MEDICARE: MRS. KRISTINE KAE WOOD LPC

MEDICARE: MRS. KRISTINE KAE WOOD LPC
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
1101YM0800XMental Health Counselor99820TX

General Provider Information

NPI Number : 1093815037
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINE KAE WOOD LPC
Provider Business Mailing Address
First Line : 14633 SAN MADRID TRL
Second Line :
City : HASLET
State : TX
Zip : 76052-1199
Country : US
Telephone Number : 575-799-8917
Fax Number :
Provider Business Practice Location Address
First Line : 2021 GUADALUPE ST STE 260
Second Line :
City : AUSTIN
State : TX
Zip : 78705-5654
Country : US
Telephone Number : 646-941-7645
Fax Number : 929-596-7897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 09/22/2025

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Directions to “ MRS. KRISTINE KAE WOOD LPC” Practice Location

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