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General NPI Number Information
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NPI Number | 1467226639
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Entity Type | Organization
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Legal Business Name | KL COUNSELING LLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 125 LA POSTA RD STE A5
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City | TAOS
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State | NM
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Zip | 87571-7240
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Country | US
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Telephone | 575-640-5256
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1212
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City | EL PRADO
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State | NM
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Zip | 87529-1212
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Country | US
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Telephone | 575-640-5256
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Fax |
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | KARSYN LAHANN
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Credential | LPCC, GCG
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Telephone | 575-640-5256
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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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