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General NPI Number Information
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NPI Number | 1750435582
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Entity Type | Individual
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Provider Name | KATHLEEN ELIZABETH MCDONALD-GILFERT MA, ATR-BC, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 123 W MAIN ST
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City | GIRARDVILLE
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State | PA
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Zip | 17935-1718
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Country | US
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Telephone | 570-875-2271
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Fax | 570-276-2098
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Provider Business Mailing Address
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Address Line | 123 W MAIN ST
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City | GIRARDVILLE
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State | PA
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Zip | 17935-1718
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Country | US
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Telephone | 570-875-2271
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Fax | 570-276-2098
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004303
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License Number State | PA
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