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General NPI Number Information
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NPI Number | 1821689670
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Entity Type | Individual
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Provider Name | KATHRYN RONEK MA, LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 5104 N LOCKWOOD RIDGE RD STE 105
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City | SARASOTA
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State | FL
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Zip | 34234-3312
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Country | US
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Telephone | 314-640-6756
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Fax |
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Provider Business Mailing Address
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Address Line | 8236 VILLA GRANDE CT
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City | SARASOTA
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State | FL
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Zip | 34243-3050
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Country | US
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Telephone | 314-640-6756
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2012038140
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH17580
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License Number State | FL
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