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KRISTIN BEIGHTOL MSW, LCSW, LADAC
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1821370339
Individual Registrant: KRISTIN BEIGHTOL MSW, LCSW, LADAC
Gender: F
Not Sole Proprietor
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
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
Tel: 417-761-5000 Fax: 417-761-5065
Registration Information:
NPI: 1821370339
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | AR | 348L |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | AR | 3213-C |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 229111719 | AR | 05 |
