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General NPI Number Information
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NPI Number | 1891423406
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Entity Type | Individual
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Provider Name | HEATHER KAUFMAN-MCKIVIGAN LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 03/23/2025
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Provider Practice Location Address
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Address Line | 921 E 86TH ST STE 103
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1841
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Country | US
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Telephone | 317-444-4979
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Fax | 317-444-4550
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Provider Business Mailing Address
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Address Line | 921 E 86TH ST STE 103
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1841
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Country | US
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Telephone | 317-444-4979
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Fax | 317-444-4550
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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 |
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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 | 88001583A
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License Number State | IN
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