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NPI Code Detail

MEDICARE: KRISTINA FARMER LMFT

MEDICARE: KRISTINA FARMER LMFT
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
1106H00000XMarriage & Family Therapist200891TX

General Provider Information

NPI Number : 1699805267
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA FARMER LMFT
Provider Business Mailing Address
First Line : 19807 TIDY TIPS LN
Second Line :
City : SPRING
State : TX
Zip : 77379-5141
Country : US
Telephone Number : 281-636-1811
Fax Number :
Provider Business Practice Location Address
First Line : 4950 MEMORIAL DR
Second Line :
City : HOUSTON
State : TX
Zip : 77007-7440
Country : US
Telephone Number : 713-802-3897
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ KRISTINA FARMER LMFT” Practice Location

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