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General NPI Number Information
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NPI Number | 1679309686
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Entity Type | Individual
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Provider Name | KEVANTE MONETTE
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Gender | Male
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 20440 N 27TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85027-3240
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Country | US
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Telephone | 480-882-4545
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Fax | 660-291-0294
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Provider Business Mailing Address
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Address Line | 7500 N DREAMY DRAW DR STE 145
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City | PHOENIX
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State | AZ
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Zip | 85020-4668
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Country | US
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Telephone | 480-882-4545
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC23868
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC23868
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License Number State | AZ
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