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NPI Code Detail

MEDICARE: MRS. KRISTIN RENEE COLLINS LPC

MEDICARE: MRS. KRISTIN RENEE COLLINS 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 Counselor78601TX

General Provider Information

NPI Number : 1942855242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN RENEE COLLINS LPC
Provider Business Mailing Address
First Line : 7122 STONEWALL HL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78256-1926
Country : US
Telephone Number : 210-404-9696
Fax Number :
Provider Business Practice Location Address
First Line : 7122 STONEWALL HL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78256-1926
Country : US
Telephone Number : 210-404-9696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2019
Last Update Date : 08/05/2019

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