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General NPI Number Information
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NPI Number | 1669187431
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH COUNSELING BY KHANA KLEYN PLLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 2361 NOSTRAND AVE STE 101
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City | BROOKLYN
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State | NY
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Zip | 11210-3952
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Country | US
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Telephone | 718-313-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 1284 E 19TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-5404
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Country | US
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Telephone | 720-300-2513
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KHANA KLEYN
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Credential | LMHC
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Telephone | 720-300-2513
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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 |
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License Number State |
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