MEDICARE: KAREN CHRISTINA GIDDINGS

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
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1306676283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN CHRISTINA GIDDINGS

Provider Business Mailing Address
First Line	:	2612 TILDEN DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8417
Country	:	US
Telephone Number	:	214-223-0004
Fax Number	:

Provider Business Practice Location Address
First Line	:	2305 OAK LN STE 103
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-8243
Country	:	US
Telephone Number	:	469-626-8195
Fax Number	:	469-857-8492

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	02/28/2025

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