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NPI Code Detail

MEDICARE: KRISTA MARIE LACROIX

MEDICARE: KRISTA MARIE LACROIX
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 Counselor

General Provider Information

NPI Number : 1427469121
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA MARIE LACROIX
Provider Business Mailing Address
First Line : 5212 EL CASTANO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-6610
Country : US
Telephone Number : 702-882-8237
Fax Number :
Provider Business Practice Location Address
First Line : 5212 EL CASTANO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-6610
Country : US
Telephone Number : 702-882-8237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2014
Last Update Date : 05/15/2014

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Directions to “ KRISTA MARIE LACROIX ” Practice Location

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