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General NPI Number Information
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NPI Number | 1710225578
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Entity Type | Individual
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Provider Name | ERIN ASHLEY KIECHLE LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 31551 COUNTY ROUTE 20
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City | PHILADELPHIA
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State | NY
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Zip | 13673-2214
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Country | US
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Telephone | 315-775-8418
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Fax |
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Provider Business Mailing Address
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Address Line | 531 WASHINGTON ST STE 4124
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City | WATERTOWN
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State | NY
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Zip | 13601-4037
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Country | US
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Telephone | 315-782-4483
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Fax | 315-785-9210
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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 |
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License Number State |
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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 | 005436
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License Number State | NY
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