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General NPI Number Information
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NPI Number | 1750489282
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Entity Type | Organization
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Legal Business Name | KERR'S COUNSELING
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 520 WASHINGTON ST STE C
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City | CONCORDIA
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State | KS
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Zip | 66901-2117
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Country | US
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Telephone | 785-243-4164
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Fax | 785-243-4164
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Provider Business Mailing Address
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Address Line | PO BOX 254
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City | CONCORDIA
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State | KS
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Zip | 66901-0254
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Country | US
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Telephone | 785-243-4164
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Fax | 785-243-4164
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Authorized Official
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Title or Position | OWNER - CLINICAL DIRECTOR
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Name | MR. JIM R KERR
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Credential | CADC II
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Telephone | 785-243-4164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 085
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License Number State | KS
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