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General NPI Number Information
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NPI Number | 1992357776
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Entity Type | Organization
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Legal Business Name | KA COUNSELING, LLC
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 224 KAMEHAMEHA AVE # 201
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City | HILO
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State | HI
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Zip | 96720-2860
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Country | US
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Telephone | 602-653-0841
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Fax | 866-985-6799
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Provider Business Mailing Address
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Address Line | PO BOX 86
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City | HAWAII NATIONAL PARK
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State | HI
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Zip | 96718-0086
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Country | US
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Telephone | 602-653-0841
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | KRISTEN A MCFEE
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Credential | LMHC
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Telephone | 602-653-0841
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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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