Individual provider · NPI-1

Kirsten Ambrose

Counselor, Professional · Addison, TX

NPI number1992453344
StatusActive
Last updated in NPPESMar 15, 2022

Details

NPI
1992453344
Entity type
Individual (NPI-1)
Name
Kirsten Ambrose
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2022
Certification date
Mar 15, 2022
Last updated
Mar 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional86183TXYes

Other names

  • Kirsten Nataren Crus (Other Name)

Practice location

14673 Midway Rd
Addison, TX 75001-3171

Phone 469-904-2408

Mailing address

2403 Lea Crest Dr
Dallas, TX 75216-5821

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