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NPI Code Detail

MEDICARE: KRISTIN SMART LPC

MEDICARE: KRISTIN SMART 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1386287720
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN SMART LPC
Provider Business Mailing Address
First Line : 4532 MYERWOOD LN
Second Line :
City : DALLAS
State : TX
Zip : 75244-7515
Country : US
Telephone Number : 214-924-2729
Fax Number :
Provider Business Practice Location Address
First Line : 100 CRESCENT CT STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75201-2112
Country : US
Telephone Number : 214-924-2729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2019
Last Update Date : 11/27/2023

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Directions to “ KRISTIN SMART LPC” Practice Location

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