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NPI 1316765324

NPI 1316765324 : KECIA ANN GUEST LPC : TOPEKA, KS

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General NPI Number Information
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    NPI Number           |    1316765324
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    Entity Type          |    Individual 
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    Provider Name        |    KECIA ANN GUEST LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/30/2024
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    Last Update Date     |    09/30/2024
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Provider Practice Location Address
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    Address Line         |    3321 SW JARDINE CT 
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    City                 |    TOPEKA
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    State                |    KS
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    Zip                  |    66611-1850
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    Country              |    US
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    Telephone            |    785-408-6491
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3321 SW JARDINE CT 
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    City                 |    TOPEKA
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    State                |    KS
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    Zip                  |    66611-1850
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    Country              |    US
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    Telephone            |    785-408-6491
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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        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    6267579573
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    04714
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    License Number State |    KS
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