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Individual

KRISTIN WARREN

Active
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Individual

KRISTIN WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMFT, LCDC,

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12072
TX
101YP2500X
Professional Counselor
Primary
68600
106H00000X
Marriage & Family Therapist
201782
TX

Other

Enumeration date
03/15/2014
Last updated
05/27/2015
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