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General NPI Number Information
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NPI Number | 1851020861
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Entity Type | Organization
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Legal Business Name | KP COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 102 6TH AVE NE STE B
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City | GLEN BURNIE
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State | MD
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Zip | 21060-6869
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Country | US
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Telephone | 410-320-9967
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Fax | 443-835-3925
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Provider Business Mailing Address
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Address Line | 7229 RITCHIE HWY
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3038
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Country | US
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Telephone | 410-320-9967
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Fax | 443-835-3925
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Authorized Official
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Title or Position | PROGRAM ADMINISTRATOR
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Name | KIM MARIE SINGLETON
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Credential | CAC-AD
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Telephone | 410-320-9967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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