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NPI Code Detail

MEDICARE: MS. KRISTINA SIPES RICHMOND MS

MEDICARE:  MS. KRISTINA SIPES RICHMOND  MS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1972751121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTINA SIPES RICHMOND MS
Provider Business Mailing Address
First Line : 130 CENTER ST
Second Line :
City : KEYSER
State : WV
Zip : 26726-3520
Country : US
Telephone Number : 304-788-1113
Fax Number :
Provider Business Practice Location Address
First Line : 130 CENTER ST
Second Line :
City : KEYSER
State : WV
Zip : 26726-3520
Country : US
Telephone Number : 304-788-1113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2008
Last Update Date : 06/23/2021

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Directions to “ MS. KRISTINA SIPES RICHMOND MS” Practice Location

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