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General NPI Number Information
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NPI Number | 1003615360
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Entity Type | Organization
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Legal Business Name | KPM COUNSELING AND CONSULTATION PLLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 825 NICOLLET MALL STE 1950
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-2707
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Country | US
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Telephone | 952-999-3130
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Fax |
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Provider Business Mailing Address
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Address Line | 825 NICOLLET MALL STE 1950
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-2707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / MENTAL HEALTH THERAPIST
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Name | GRACE KIM
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Credential | PH.D
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Telephone | 952-999-3130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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