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General NPI Number Information
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NPI Number | 1467945048
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Entity Type | Individual
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Provider Name | CHRISTINA MCKELVY LPC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 450 W GOODWIN ST STE 103B
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City | PRESCOTT
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State | AZ
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Zip | 86303-3781
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Country | US
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Telephone | 928-517-7200
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Fax | 928-517-7500
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Provider Business Mailing Address
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Address Line | PO BOX 11380
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City | PRESCOTT
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State | AZ
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Zip | 86304-1380
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Country | US
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Telephone | 928-517-7200
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Fax | 928-517-7500
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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 | LPC-17075
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License Number State | AZ
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