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General NPI Number Information
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NPI Number | 1972094183
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Entity Type | Organization
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Legal Business Name | KISER COUNSELING INC.
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 518 28 RD STE B203
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6559
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Country | US
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Telephone | 970-812-3162
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Fax | 844-451-3838
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Provider Business Mailing Address
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Address Line | 518 28 RD STE B203
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6559
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Country | US
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Telephone | 970-812-3162
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Fax | 844-451-3838
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | BETHANY KISER
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Credential | LPC
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Telephone | 970-812-3162
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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 | 13433
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License Number State | CO
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