| Doctor Name: | MRS. KRISTIE DAWN EARSOM |
| NPI Number: | 1457643165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLMHP NCC |
| License Number: | 9323 |
| Business Practice Address: | 10730 737 Rd Loomis, NE - 689585806 |
| Business Phone Number: | 3088762327 |
| Business Fax Number: | 3088762130 |
| Mailing Address: | 710 Burlington St, HOLDREGE |
| State: | NE |
| Postal Code: | 689492177 |
| Phone Number: | 3089956691 |
| Fax Number: | 3089956830 |
| NPI Enumeration Date: | 05/12/2011 |
| NPI Last Update Date: | 05/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9323 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |