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General NPI Number Information
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NPI Number | 1013718568
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Entity Type | Organization
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Legal Business Name | KELSEY ANDERSON MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 16 E 40TH ST FL 10
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City | NEW YORK
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State | NY
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Zip | 10016-0113
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Country | US
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Telephone | 347-603-0690
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Fax |
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Provider Business Mailing Address
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Address Line | 460 E FORDHAM RD # 2057
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City | BRONX
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State | NY
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Zip | 10458-5108
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Country | US
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Telephone | 347-603-0690
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Fax | 833-622-0593
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Authorized Official
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Title or Position | DIRECTOR OF PSYCHOTHERAPY
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Name | KELSEY ANDERSON
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Credential | LMHC
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Telephone | 347-603-0690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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