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NPI 1295905875

NPI 1295905875 : KIMBERLY G. MCELROY LPCC : MURRIETA, CA

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General NPI Number Information
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    NPI Number           |    1295905875
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    Entity Type          |    Individual 
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    Provider Name        |    KIMBERLY G. MCELROY LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/10/2008
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    Last Update Date     |    12/05/2014
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Provider Practice Location Address
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    Address Line         |    41870 KALMIA ST SUITE 155
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    City                 |    MURRIETA
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    State                |    CA
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    Zip                  |    92562-8839
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    Country              |    US
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    Telephone            |    949-282-8193
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    Fax                  |    951-678-9765
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Provider Business Mailing Address
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    Address Line         |    41870 KALMIA ST SUITE 155
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    City                 |    MURRIETA
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    State                |    CA
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    Zip                  |    92562-8839
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    Country              |    US
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    Telephone            |    949-282-8193
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    Fax                  |    951-678-9765
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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       |    LPCC1101
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    License Number State |    CA
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