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General NPI Number Information
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NPI Number | 1649908070
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Entity Type | Individual
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Provider Name | KATLYN ELIZABETH KERSEY LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 4075 OLD WESTERN ROW RD
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City | MASON
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State | OH
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Zip | 45040-3104
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Country | US
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Telephone | 513-536-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 4075 OLD WESTERN ROW RD
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City | MASON
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State | OH
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Zip | 45040-3104
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Country | US
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Telephone | 513-658-4969
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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 | M.2200065-TEMP
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License Number State |
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