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General NPI Number Information
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NPI Number | 1285387175
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Entity Type | Individual
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Provider Name | KIMBERLY ALLISON CORNETT MS, NCC, LCDC, LPCA
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Gender | Female
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 1925 GRAND AVE STE 129
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City | BILLINGS
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State | MT
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Zip | 59102-2776
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Country | US
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Telephone | 406-346-3146
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 AIRLINE RD APT E8
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412-4604
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Country | US
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Telephone | 361-429-6564
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 86587
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License Number State | TX
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