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NPI Code Detail

MEDICARE: CRISTI HENK SMITH LPC

MEDICARE:   CRISTI HENK SMITH  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
1101YP2500XProfessional Counselor60004TX

General Provider Information

NPI Number : 1386782852
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTI HENK SMITH LPC
Provider Business Mailing Address
First Line : 3109 W SLAUGHTER LN STE C
Second Line :
City : AUSTIN
State : TX
Zip : 78748-5712
Country : US
Telephone Number : 512-517-8168
Fax Number :
Provider Business Practice Location Address
First Line : 3109 W SLAUGHTER LN STE C
Second Line :
City : AUSTIN
State : TX
Zip : 78748-5712
Country : US
Telephone Number : 512-517-8168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2007
Last Update Date : 03/10/2023

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Directions to “ CRISTI HENK SMITH LPC” Practice Location

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