Organization
KRISTIN THOMPSON COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN THOMPSON LCSW (SOLE MEMBER)
(512) 468-9619
Entity
Organization
Contact information
Practice address
1428 W HEBRON PKWY STE 135, CARROLLTON, TX 75010-6345
(512) 468-9619
Mailing address
1709 BRISCOE DR, LANTANA, TX 76226-2590
(512) 468-9619
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51863
LCSW
TX
Enumeration date
11/13/2019
Last updated
11/13/2019
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