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General NPI Number Information
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NPI Number | 1740829266
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Entity Type | Organization
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Legal Business Name | ALLISON REICHERT MED LPC LLC
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Dates
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Enumeration Date | 01/01/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 2521 CECELIA AVE.
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City | SAINT LOUIS
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State | MO
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Zip | 63144-2514
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Country | US
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Telephone | 314-563-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 10820 SUNSET OFFICE DR STE 204
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1030
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Country | US
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Telephone | 314-563-1330
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Fax | 314-315-4896
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Authorized Official
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Title or Position | OWNER, SOLE MEMBER
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Name | KATHRYN ALLISON TAYLOR-REICHERT
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Credential | MED, LPC, NCC
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Telephone | 314-563-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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