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General NPI Number Information
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NPI Number | 1871415430
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Entity Type | Individual
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Provider Name | KELSEY NICOLE BAHENA ASW
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 1600 WEEOT WAY
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City | ARCATA
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State | CA
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Zip | 95521-4734
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Country | US
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Telephone | 707-825-5000
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Fax | 707-825-6747
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Provider Business Mailing Address
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Address Line | PO BOX 6001
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City | EUREKA
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State | CA
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Zip | 95502-6001
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Country | US
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Telephone | 530-990-8279
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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 | ASW123414
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License Number State | CA
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