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General NPI Number Information
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NPI Number | 1750185740
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Entity Type | Individual
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Provider Name | CYNTHIA ROSE KIEHN-MOLA MA & PPS CREDENTAIL
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 1897 S ST
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City | ARCATA
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State | CA
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Zip | 95521-5474
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Country | US
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Telephone | 707-825-8804
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Fax | 707-825-1761
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Provider Business Mailing Address
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Address Line | PO BOX 522
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City | BLUE LAKE
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State | CA
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Zip | 95525-0522
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Country | US
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Telephone | 707-825-8804
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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