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General NPI Number Information
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NPI Number | 1720184765
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Entity Type | Individual
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Provider Name | JACQUELINE FISHER COULTER M.S., LMFT, LCMFT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 48 E 108TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64114-5088
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Country | US
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Telephone | 209-204-8643
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Fax |
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Provider Business Mailing Address
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Address Line | 48 E 108TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64114-5088
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Country | US
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Telephone | 209-204-8643
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2025002927
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCMFT03084
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 41366
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101007549
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 205840
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License Number State | TX
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