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NPI 1720318942

NPI 1720318942 : LYNN DELL KONS M.F.T. : CARMICHAEL, CA

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General NPI Number Information
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    NPI Number           |    1720318942
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    Entity Type          |    Individual 
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    Provider Name        |    LYNN DELL KONS M.F.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/11/2010
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    Last Update Date     |    02/01/2026
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Provider Practice Location Address
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    Address Line         |    5740 WINDMILL WAY SUITE11
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    City                 |    CARMICHAEL
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    State                |    CA
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    Zip                  |    95608-1379
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    Country              |    US
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    Telephone            |    916-834-4059
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    Fax                  |    916-990-9964
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Provider Business Mailing Address
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    Address Line         |    5740 WINDMILL WAY SUITE11
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    City                 |    CARMICHAEL
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    State                |    CA
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    Zip                  |    95608-1379
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    Country              |    US
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    Telephone            |    916-834-4059
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    Fax                  |    916-990-9964
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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       |    MFC 39846
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    License Number State |    CA
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