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General NPI Number Information
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NPI Number | 1144011628
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Entity Type | Individual
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Provider Name | KATHLEEN DELIA NIELSEN LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 13 PROSPECT ST
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City | GREENFIELD
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State | MA
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Zip | 01301-3506
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Country | US
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Telephone | 978-319-3517
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Fax |
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Provider Business Mailing Address
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Address Line | 11 WALNUT ST
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City | GILL
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State | MA
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Zip | 01354-9791
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Country | US
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Telephone | 978-319-3517
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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 | LMHC10003345
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License Number State | MA
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