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General NPI Number Information
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NPI Number | 1093520215
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Entity Type | Individual
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Provider Name | CAITLIN KEMENY MS, M, DIV., LPC
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 327 DAHLONEGA ST STE A601
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City | CUMMING
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State | GA
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Zip | 30040-2488
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Country | US
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Telephone | 678-758-3728
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Fax |
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Provider Business Mailing Address
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Address Line | 2924 ECHOLS RD
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City | CUMMING
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State | GA
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Zip | 30041-8290
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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 |
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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 | LPC014788
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License Number State | GA
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