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NPI Code Detail

MEDICARE: KRISTIN WRIGHT M.S., LPC

MEDICARE: KRISTIN WRIGHT M.S., 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
1101Y00000XCounselor76614TX

General Provider Information

NPI Number : 1962057505
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN WRIGHT M.S., LPC
Provider Business Mailing Address
First Line : 1400 N CORINTH ST STE 109
Second Line :
City : CORINTH
State : TX
Zip : 76208-5444
Country : US
Telephone Number : 940-268-5339
Fax Number :
Provider Business Practice Location Address
First Line : 1400 N CORINTH ST STE 109
Second Line :
City : CORINTH
State : TX
Zip : 76208-5444
Country : US
Telephone Number : 940-268-5339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2019
Last Update Date : 10/28/2019

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