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General NPI Number Information
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NPI Number | 1700702826
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Entity Type | Organization
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Legal Business Name | KJN THERAPY
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 147 STEWART DR
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City | TIBURON
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State | CA
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Zip | 94920-1337
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Country | US
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Telephone | 425-922-2544
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Fax |
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Provider Business Mailing Address
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Address Line | 147 STEWART DR
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City | TIBURON
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State | CA
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Zip | 94920-1337
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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 | MS. KELLY NEUPERT
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Credential | LMHC
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Telephone | 425-922-2544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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