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General NPI Number Information
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NPI Number | 1356834089
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Entity Type | Organization
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Legal Business Name | KASBAR COUNSELING & CONSULTING, INC
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 300 COLORADO AVE STE 208
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City | STUART
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State | FL
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Zip | 34994-2103
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Country | US
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Telephone | 954-245-1819
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Fax |
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Provider Business Mailing Address
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Address Line | 300 COLORADO AVE STE 208
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City | STUART
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State | FL
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Zip | 34994-2103
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Country | US
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Telephone | 954-245-1819
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOTHERAPIST
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Name | MRS. MIESHA MCINTOSH-KASBAR
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Credential | MS, LMHC, MCAP
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Telephone | 954-245-1819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MH10107
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License Number State | FL
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