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General NPI Number Information
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NPI Number | 1396808044
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Entity Type | Individual
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Provider Name | KATHLEEN M RHODES LMFT, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2006
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Last Update Date | 06/07/2009
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Provider Practice Location Address
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Address Line | 1002 HIGHLAND AVE SUITE 303
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City | SHREVEPORT
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State | LA
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Zip | 71101-4143
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Country | US
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Telephone | 318-424-5008
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Fax | 318-741-9964
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Provider Business Mailing Address
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Address Line | 31 WATERBURY DR
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City | BOSSIER CITY
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State | LA
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Zip | 71111-8200
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Country | US
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Telephone | 318-424-5008
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Fax | 318-741-9964
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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 | 2350
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 516
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License Number State | LA
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