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General NPI Number Information
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NPI Number | 1689214280
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Entity Type | Individual
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Provider Name | KASEY A LOUIS MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2020
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Last Update Date | 10/09/2022
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Provider Practice Location Address
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Address Line | 14321 WINTER BREEZE DR STE 43
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-2452
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Country | US
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Telephone | 360-528-0035
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Fax | 804-324-5583
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Provider Business Mailing Address
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Address Line | PO BOX 1704
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City | CHESTERFIELD
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State | VA
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Zip | 23832-9107
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Country | US
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Telephone | 360-528-0035
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Fax | 804-451-9078
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 61025518
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License Number State | WA
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61025518
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 61025518
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 61025518
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License Number State | WA
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