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General NPI Number Information
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NPI Number | 1831082452
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Entity Type | Individual
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Provider Name | KATHRYN CHRISTINE HAJOS MS-MHC
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 317 W 6TH ST STE 208
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City | MOSCOW
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State | ID
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Zip | 83843-2387
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Country | US
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Telephone | 208-882-3504
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | SANTA
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State | ID
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Zip | 83866-0132
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Country | US
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Telephone | 989-233-7139
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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 | 3271567
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License Number State | ID
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