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General NPI Number Information
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NPI Number | 1932682887
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Entity Type | Individual
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Provider Name | ALEXANDRA KUESTERSTEFFEN LPC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 5736 N BROADWAY ST
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City | KANSAS CITY
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State | MO
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Zip | 64118-3997
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Country | US
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Telephone | 816-945-7887
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 S ELLISON WAY
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City | INDEPENDENCE
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State | MO
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Zip | 64055-3004
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Country | US
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Telephone | 816-726-4151
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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 | 3415
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License Number State | MN
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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 | 2014000737
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License Number State | MO
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