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General NPI Number Information
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NPI Number | 1770882813
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Entity Type | Individual
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Provider Name | KATHLEEN MC ELROY LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1001 PARTRIDGE DR STE 110
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City | VENTURA
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State | CA
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Zip | 93003-0714
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Country | US
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Telephone | 925-282-1778
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Fax | 415-296-5299
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Provider Business Mailing Address
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Address Line | 1001 PARTRIDGE DR STE 110
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City | VENTURA
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State | CA
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Zip | 93003-0714
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Country | US
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Telephone | 925-282-1778
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Fax | 415-296-5299
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 78871
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License Number State | CA
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