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General NPI Number Information
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NPI Number | 1760206957
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Entity Type | Organization
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Legal Business Name | KGS COUNSELING
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 320 S STATE ST STE 6
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-1590
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Country | US
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Telephone | 570-351-2751
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Fax |
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Provider Business Mailing Address
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Address Line | 1327 GRAVEL POND RD
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-9457
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Country | US
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Telephone | 570-351-2751
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | KELLY VERMEERENSMITH
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Credential | LCSW
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Telephone | 570-351-2751
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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 |
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License Number State |
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