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General NPI Number Information
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NPI Number | 1962396317
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Entity Type | Individual
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Provider Name | KERSTEN RENA TIMME ME, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 22214 D ST
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City | WINFIELD
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State | KS
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Zip | 67156-7376
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Country | US
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Telephone | 620-221-9664
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Fax |
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Provider Business Mailing Address
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Address Line | 1093 E LYNN DR
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City | MULVANE
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State | KS
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Zip | 67110-8317
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Country | US
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Telephone | 858-382-8644
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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 | 05052
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License Number State | KS
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