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General NPI Number Information
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NPI Number | 1104248335
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Entity Type | Individual
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Provider Name | KARI L GONZALES M.A. LPC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 420 N 8TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3307
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Country | US
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Telephone | 913-568-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 420 NORTH 8TH STREET
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-1523
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0012723
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License Number State | CO
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