| Doctor Name: | KRISTINA M THOMPSON |
| NPI Number: | 1689004426 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LICSW |
| License Number: | 20664 |
| Business Practice Address: | 900 Golf Ave Sw Pine City, MN - 550635015 |
| Business Phone Number: | 3206297600 |
| Business Fax Number: | 6519250071 |
| Mailing Address: | 220 Railroad St Se, PINE CITY |
| State: | MN |
| Postal Code: | 550631540 |
| Phone Number: | 3206297600 |
| Fax Number: | 6519250071 |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 20664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |