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General NPI Number Information
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NPI Number | 1083068415
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Entity Type | Individual
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Provider Name | GENA KOHNER LPC, MPC
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Gender | Female
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 21448 N 75TH AVE SUITE 11
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City | GLENDALE
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State | AZ
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Zip | 85308-5978
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Country | US
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Telephone | 623-572-8053
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Fax |
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Provider Business Mailing Address
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Address Line | 14350 N FRNKLYDWRIGHTBLVD STE 10
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-8843
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Country | US
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Telephone | 602-689-6544
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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 | LPC-18797
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License Number State | AZ
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