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General NPI Number Information
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NPI Number | 1407392202
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Entity Type | Organization
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Legal Business Name | KIRSTEN WESTRA MS, LMHC, LLC
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 75-127 LUNAPULE RD STE 1C
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City | KAILUA KONA
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State | HI
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Zip | 96740-2119
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Country | US
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Telephone | 808-937-8007
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Fax |
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Provider Business Mailing Address
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Address Line | 75-127 LUNAPULE RD STE 1C
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City | KAILUA KONA
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State | HI
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Zip | 96740-2119
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Country | US
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Telephone | 808-937-8007
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | KIRSTEN WESTRA
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Credential | MS, LMHC, LLC
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Telephone | 808-937-8007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC301
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License Number State | HI
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