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General NPI Number Information
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NPI Number | 1043737828
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Entity Type | Individual
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Provider Name | KIMBERLY MAE OSTMAN MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 08/24/2025
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Provider Practice Location Address
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Address Line | 10505 WAYZATA BLVD STE 203-5
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City | MINNETONKA
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State | MN
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Zip | 55305-1502
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Country | US
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Telephone | 612-460-7252
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Fax | 866-318-3073
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Provider Business Mailing Address
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Address Line | 4840 LOUISIANA AVE N
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City | CRYSTAL
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State | MN
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Zip | 55428-4634
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Country | US
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Telephone | 763-458-0644
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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 | 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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