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General NPI Number Information
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NPI Number | 1487439873
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Entity Type | Individual
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Provider Name | KARA KENNEMORE MFT, LPPC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1103 N B ST STE E
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City | SACRAMENTO
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State | CA
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Zip | 95811-0326
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Country | US
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Telephone | 916-378-8266
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Fax |
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Provider Business Mailing Address
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Address Line | 6410 DI LUSSO DR
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City | ELK GROVE
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State | CA
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Zip | 95758-5439
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Country | US
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Telephone | 916-597-4159
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Fax |
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Authorized Official
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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