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General NPI Number Information
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NPI Number | 1184495913
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Entity Type | Organization
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Legal Business Name | ALYSON REYNOLDS KOHL LMFT FAMILY THERAPIST LLC
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 2628 VICTOR AVE STE C
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City | REDDING
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State | CA
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Zip | 96002-1454
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Country | US
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Telephone | 530-638-3368
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Fax | 530-653-2332
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Provider Business Mailing Address
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Address Line | 2323 CHURN CREEK RD UNIT 492102
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City | REDDING
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State | CA
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Zip | 96049-5328
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Country | US
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Telephone | 530-638-3368
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Fax | 530-653-2332
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Authorized Official
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Title or Position | SOLE OWNER LLC
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Name | ALYSON REYNOLDS KOHL
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Credential | LMFT
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Telephone | 530-638-3368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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