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General NPI Number Information
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NPI Number | 1679437529
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Entity Type | Individual
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Provider Name | KATHRYN ELIZABETH GARDNER LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 742 PRE EMPTION RD
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City | GENEVA
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State | NY
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Zip | 14456-1336
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Country | US
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Telephone | 315-640-4569
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Fax |
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Provider Business Mailing Address
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Address Line | 1182 CHENANGO ST
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City | BINGHAMTON
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State | NY
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Zip | 13901-1653
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Country | US
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Telephone | 607-772-6904
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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 | 012197
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License Number State | NY
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