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General NPI Number Information
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NPI Number | 1881415529
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Entity Type | Organization
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Legal Business Name | KIZAUR COUNSELING
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 3454 OAK ALLEY CT STE 400
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City | TOLEDO
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State | OH
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Zip | 43606-1355
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Country | US
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Telephone | 419-367-9646
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Fax |
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Provider Business Mailing Address
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Address Line | 3454 OAK ALLEY CT STE 400
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City | TOLEDO
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State | OH
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Zip | 43606-1355
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Country | US
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Telephone | 419-367-9646
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MR. MATTHEW WILLIAM KIZAUR
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Credential | MA, LPCC
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Telephone | 419-367-9646
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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