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NPI 1447146139

NPI 1447146139 : AMY NICOLE THURMAN LPC : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1447146139
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    Entity Type          |    Individual 
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    Provider Name        |    AMY NICOLE THURMAN LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/17/2025
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    200 W DOUGLAS AVE STE 250 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67202-3002
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    Country              |    US
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    Telephone            |    316-265-9922
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1146 N PARKWAY DR 
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    City                 |    VALLEY CENTER
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    State                |    KS
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    Zip                  |    67147-2692
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    Country              |    US
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    Telephone            |    316-214-9256
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    04962
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    License Number State |    KS
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