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General NPI Number Information
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NPI Number | 1396297503
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Entity Type | Organization
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Legal Business Name | KAREN L GUTHERLESS
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 401 W WALKER ROAD
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City | NORTH PLATTE
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State | NE
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Zip | 69101
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Country | US
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Telephone | 308-530-3622
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Fax |
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Provider Business Mailing Address
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Address Line | 401 W WALKER RD
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City | NORTH PLATTE
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State | NE
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Zip | 69101-7837
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Country | US
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Telephone | 308-530-3622
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | KAREN L GUTHERLESS
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Credential | LIMHP CPC
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Telephone | 308-530-3622
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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 |
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License Number State |
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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 |
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License Number State |
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