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NPI 1821972936

NPI 1821972936 : KAIRA CAMILLE LOVING LPC : LAVEEN, AZ

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General NPI Number Information
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    NPI Number           |    1821972936
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    Entity Type          |    Individual 
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    Provider Name        |    KAIRA CAMILLE LOVING LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2025
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    Last Update Date     |    08/01/2025
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Provider Practice Location Address
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    Address Line         |    4114 W DESERT LN 
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    City                 |    LAVEEN
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    State                |    AZ
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    Zip                  |    85339-2530
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    Country              |    US
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    Telephone            |    602-612-4668
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    610 E ROOSEVELT ST UNIT 249 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85004-1985
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    Country              |    US
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    Telephone            |    313-200-5568
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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       |    LPC-22386
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    LPC-22386
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LPC-22386
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    License Number State |    AZ
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