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General NPI Number Information
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NPI Number | 1790309854
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Entity Type | Individual
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Provider Name | KATHY SIMMONS M.ED., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 07/15/2023
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Provider Practice Location Address
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Address Line | 249 LAMP AND LANTERN VILLAGE
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City | TOWN AND COUNTRY
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State | MO
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Zip | 63017
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Country | US
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Telephone | 314-899-2670
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Fax |
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Provider Business Mailing Address
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Address Line | 14137 CLAYTON RD
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City | TOWN AND COUNTRY
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State | MO
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Zip | 63017-8355
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Country | US
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Telephone | 314-579-1612
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Fax |
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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 | 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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