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General NPI Number Information
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NPI Number | 1811323074
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Entity Type | Individual
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Provider Name | KATHRYN M AYOOB LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 14-3433 SHELL RD
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City | PAHOA
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State | HI
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Zip | 96778-8161
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Country | US
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Telephone | 505-920-1192
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 794
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City | HOLUALOA
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State | HI
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Zip | 96725-0794
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Country | US
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Telephone | 505-920-1192
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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 | MHC-1107
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License Number State | HI
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