Individual
KRISTIN BEIGHTOL
Active
Individual
KRISTIN BEIGHTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
348L
AR
1041C0700X
Clinical Social Worker
Primary
3213-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229111719
—
AR
Enumeration date
09/12/2011
Last updated
01/29/2021
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