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General NPI Number Information
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NPI Number | 1750682902
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Entity Type | Organization
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Legal Business Name | KP COUNSELING PLLC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 110 MAIN ST STE 1408A
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City | SACO
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State | ME
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Zip | 04072-3518
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Country | US
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Telephone | 207-650-7528
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Fax | 866-929-0240
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Provider Business Mailing Address
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Address Line | 110 MAIN ST STE 1408A
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City | SACO
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State | ME
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Zip | 04072-3518
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Country | US
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Telephone | 207-650-7528
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Fax | 866-929-0240
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Authorized Official
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Title or Position | MEMBER
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Name | KATHERINE PERRY
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Credential | LCPC, NCC, DCC
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Telephone | 207-650-7528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC4002
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License Number State | ME
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