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NPI Code Detail

MEDICARE: CRISTI THOMAS COUNSELING, PLLC

MEDICARE: CRISTI THOMAS COUNSELING, PLLC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1215769492
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRISTI THOMAS COUNSELING, PLLC
Provider Business Mailing Address
First Line : 4745 BRIARCLIFF TRL
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904-7634
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4745 BRIARCLIFF TRL
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904-7634
Country : US
Telephone Number : 325-245-3845
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : CRISTI THOMAS
Credential : MED, LPC
Telephone Number : 325-245-3845
Provider Enumeration Date : 08/16/2024
Last Update Date : 08/17/2024

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