Individual
KRISTAL BOUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
950 N 4TH ST, LONGVIEW, TX 75601-5436
(903) 758-2471
Mailing address
950 N 4TH ST, LONGVIEW, TX 75601-5436
(903) 753-9843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10494
LCDC
TX
Enumeration date
06/28/2016
Last updated
06/27/2022
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