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KRISTIN BEIGHTOL MSW, LCSW, LADAC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1821370339

Individual Registrant:
 KRISTIN  BEIGHTOL MSW, LCSW, LADAC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
114 E CRANDALL AVE STE B  HARRISON, AR 72601-3628 US
Tel: 870-741-8484  Fax: 870-741-4088

Contact information for business:
2885 W BATTLEFIELD ST  SPRINGFIELD, MO 65807-3952 US
Tel: 417-761-5000  Fax: 417-761-5065

Registration Information:
NPI: 1821370339
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
AR348L
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
AR3213-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
229111719AR05




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