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General NPI Number Information
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NPI Number | 1215667076
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Entity Type | Individual
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Provider Name | KELSEY MCPHERRIN HAWK LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2580 E MAIN ST STE 100
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City | VENTURA
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State | CA
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Zip | 93003-2640
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Country | US
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Telephone | 805-341-3961
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1264
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City | VENTURA
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State | CA
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Zip | 93002-1264
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Country | US
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Telephone | 805-341-3961
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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 | 2871187
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C11164
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT147981
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC20936
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License Number State | CA
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