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General NPI Number Information
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NPI Number | 1841700077
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Entity Type | Organization
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Legal Business Name | KW COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 10/02/2017
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Provider Practice Location Address
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Address Line | 3850 MERLE HAY RD STE 525
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City | DES MOINES
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State | IA
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Zip | 50310-1324
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Country | US
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Telephone | 515-720-1544
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Fax |
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Provider Business Mailing Address
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Address Line | 2231 228TH PL
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City | AMES
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State | IA
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Zip | 50014-6319
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Country | US
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Telephone | 515-720-1544
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Fax | 888-418-4639
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN WILLSON
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Credential | M.S., LMFT
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Telephone | 515-720-1544
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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 | 00227
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License Number State | IA
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