Kirsten Ambrose
Individual provider Active NPI Professional Counselor · Addison, TX
NPI 1992453344 · NPPES record last updated Mar 15, 2022
Key facts
- NPI
- 1992453344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 86183 (TX)
- Practice address
- 14673 Midway Rd
Addison, TX 75001-3171 - Phone
- (469) 904-2408
- NPI assigned
- Mar 15, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86183 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 86183 | TX | Yes |
Addresses
Primary practice location
14673 Midway Rd
Addison, TX 75001-3171
Mailing address
2403 Lea Crest Dr
Dallas, TX 75216-5821
Other names
- Kirsten Nataren Crus
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All providers in Addison, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.