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General NPI Number Information
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NPI Number | 1487260048
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Entity Type | Organization
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Legal Business Name | KINETIC CURE COUNSELING INC
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/29/2024
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Provider Practice Location Address
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Address Line | 6310 LAMAR AVE STE 100
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City | MERRIAM
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State | KS
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Zip | 66202-4284
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Country | US
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Telephone | 816-288-2918
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Fax |
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Provider Business Mailing Address
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Address Line | 12409 E 56TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64133-3097
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Country | US
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Telephone | 816-651-0997
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BETHANY A VROOM
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Credential | LCPC
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Telephone | 816-288-2918
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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 |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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