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General NPI Number Information
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NPI Number | 1972478071
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Entity Type | Individual
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Provider Name | KATHRYNN MCKENZIE MS, BHP, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 15820 N 35TH AVE STE 14
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City | PHOENIX
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State | AZ
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Zip | 85053-7608
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Country | US
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Telephone | 868-662-0738
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Fax |
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Provider Business Mailing Address
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Address Line | 15820 N 35TH AVE STE 14
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City | PHOENIX
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State | AZ
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Zip | 85053-7608
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Country | US
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Telephone | 866-207-3882
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC-24070
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License Number State | AZ
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