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NPI 1801973516

NPI 1801973516 : ESTHER CAROL KESCHNER PHD LMFT : REDONDO BEACH, CA

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General NPI Number Information
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    NPI Number           |    1801973516
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    Entity Type          |    Individual 
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    Provider Name        |    ESTHER CAROL KESCHNER PHD LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    205 AVENUE I 12
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    City                 |    REDONDO BEACH
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    State                |    CA
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    Zip                  |    90277
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    Country              |    US
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    Telephone            |    310-540-0888
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    Fax                  |    310-316-0013
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Provider Business Mailing Address
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    Address Line         |    205 AVENUE I 12
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    City                 |    REDONDO BEACH
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    State                |    CA
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    Zip                  |    90277
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    Country              |    US
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    Telephone            |    310-540-0888
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    Fax                  |    310-316-0013
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFT15388
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    License Number State |    CA
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