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General NPI Number Information
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NPI Number | 1558144915
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Entity Type | Individual
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Provider Name | KEVIN RICHARD BUDD MS, LLC, MT-BC
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Gender | Male
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1000 FIVEPOINT
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City | IRVINE
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State | CA
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Zip | 92618-2377
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Country | US
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Telephone | 268-414-6846
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Fax |
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Provider Business Mailing Address
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Address Line | 10602 KEDGE AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92843-5322
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Country | US
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Telephone |
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 156140
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 13115
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451024458
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License Number State | MI
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