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General NPI Number Information
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NPI Number | 1003469511
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Entity Type | Individual
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Provider Name | KELLY J ECHOLS LPC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 13800 US HIGHWAY 23
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City | WAVERLY
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State | OH
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Zip | 45690-9402
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Country | US
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Telephone | 740-947-8777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 799
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City | PIKETON
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State | OH
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Zip | 45661-0799
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Country | US
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Telephone | 740-289-2374
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2404874
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15493
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License Number State | CO
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