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General NPI Number Information
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NPI Number | 1457595365
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Entity Type | Individual
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Provider Name | KYSETA D WARNER-ARMSTRONG LPC
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Gender | Female
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 234 LUCAS WARNER RD
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City | PRENTISS
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State | MS
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Zip | 39474-5164
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Country | US
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Telephone | 601-503-0571
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Fax | 601-792-5351
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Provider Business Mailing Address
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Address Line | 234 LUCAS WARNER RD
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City | PRENTISS
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State | MS
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Zip | 39474-5164
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Country | US
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Telephone | 601-503-0571
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Fax | 601-792-5351
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LR0153
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1007
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License Number State | MS
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