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General NPI Number Information
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NPI Number | 1730890708
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Entity Type | Organization
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Legal Business Name | THERESA M COUTURE, LCMFT, LLC
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 7300 W 110TH ST STE 930
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2394
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Country | US
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Telephone | 913-735-3336
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Fax | 816-227-6931
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Provider Business Mailing Address
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Address Line | 7300 W 110TH ST STE 930
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2394
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Country | US
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Telephone | 913-735-3336
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Fax | 816-227-6931
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Authorized Official
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Title or Position | OWNER
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Name | THERESA COUTURE
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Credential |
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Telephone | 913-735-3336
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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 |
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License Number State |
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