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General NPI Number Information
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NPI Number | 1114018876
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Entity Type | Individual
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Provider Name | PRICE HAROLD GHOLSON PSY.D., LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 822 NORTH BYP
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City | KENNETT
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State | MO
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Zip | 63857-1345
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Country | US
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Telephone | 573-888-4447
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Fax | 537-888-2999
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Provider Business Mailing Address
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Address Line | 822 NORTH BYP
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City | KENNETT
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State | MO
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Zip | 63857-1345
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Country | US
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Telephone | 573-888-4447
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Fax | 537-888-2999
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 53979
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License Number State | MO
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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 | 002707
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License Number State | MO
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