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General NPI Number Information
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NPI Number | 1659949105
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Entity Type | Organization
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Legal Business Name | BLUE VALLEY COUNSELING
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 6801 W 121ST ST
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City | OVERLAND PARK
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State | KS
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Zip | 66209-2005
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Country | US
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Telephone | 803-413-7159
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Fax |
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Provider Business Mailing Address
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Address Line | 10411 MONROE AVE
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City | KANSAS CITY
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State | MO
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Zip | 64137-1533
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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 | OWNER
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Name | KARLI FARNHAM JONES
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Credential | LPC
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Telephone | 803-413-7159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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