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NPI Code Detail

MEDICARE: CRISTI THOMAS LPC

MEDICARE: CRISTI THOMAS 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
1101Y00000XCounselor89226TX
2101YM0800XMental Health Counselor89226TX
3101YP2500XProfessional Counselor89226TX

General Provider Information

NPI Number : 1902682586
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTI THOMAS LPC
Provider Business Mailing Address
First Line : 4745 BRIARCLIFF TRL
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904-7634
Country : US
Telephone Number : 325-245-3845
Fax Number : 325-442-9850
Provider Business Practice Location Address
First Line : 4745 BRIARCLIFF TRL
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904-7634
Country : US
Telephone Number : 325-245-3845
Fax Number : 325-442-9850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2023
Last Update Date : 07/25/2024

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Directions to “ CRISTI THOMAS LPC” Practice Location

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