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NPI 1598276115

NPI 1598276115 : MARSHA LEANNE KINSEY LPC : FAYETTEVILLE, AR

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General NPI Number Information
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    NPI Number           |    1598276115
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    Entity Type          |    Individual 
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    Provider Name        |    MARSHA LEANNE KINSEY LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2017
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    Last Update Date     |    05/16/2025
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Provider Practice Location Address
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    Address Line         |    31 E CENTER ST 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72701-5348
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    Country              |    US
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    Telephone            |    479-397-0182
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    Fax                  |    479-397-3039
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Provider Business Mailing Address
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    Address Line         |    31 E CENTER ST STE 207 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72701-5391
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    Country              |    US
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    Telephone            |    479-397-0182
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    Fax                  |    479-397-3039
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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       |    P2401021
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    License Number State |    AR
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