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General NPI Number Information
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NPI Number | 1609907237
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Entity Type | Individual
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Provider Name | KYOKO SAGARA LMHC, LP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 530 8TH ST APT 1
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City | BROOKLYN
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State | NY
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Zip | 11215-7154
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Country | US
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Telephone | 347-217-3316
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Fax |
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Provider Business Mailing Address
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Address Line | 530 8TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-4201
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Country | US
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Telephone | 347-217-3316
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0003445-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 000620-1
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License Number State | NY
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