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General NPI Number Information
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NPI Number | 1861003550
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Entity Type | Individual
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Provider Name | KATE MICHELLE BEAUCHENE LPC, LPCC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 566 S SAN VICENTE BLVD STE 101
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City | LOS ANGELES
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State | CA
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Zip | 90048-4650
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Country | US
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Telephone | 424-216-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 2633 LINCOLN BLVD # 811
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City | SANTA MONICA
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State | CA
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Zip | 90405-4619
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Country | US
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Telephone | 424-216-6176
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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 | C6426
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC8676
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License Number State | CA
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