MEDICARE: KRISTEN HARDIN 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
1	101Y00000X	Counselor	66478	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619262748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN HARDIN LPC

Provider Business Mailing Address
First Line	:	240 EAST RENFRO STREET
Second Line	:	SUITE 201
City	:	BURLESON
State	:	TX
Zip	:	76028-3940
Country	:	US
Telephone Number	:	817-223-3685
Fax Number	:	817-295-7815

Provider Business Practice Location Address
First Line	:	240 EAST RENFRO STREET
Second Line	:	SUITE 201
City	:	BURLESON
State	:	TX
Zip	:	76028-3940
Country	:	US
Telephone Number	:	817-223-3685
Fax Number	:	817-295-7815

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

Provider Enumeration Date	:	06/16/2011
Last Update Date	:	01/07/2016

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