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NPI Code Detail

MEDICARE: SARAH KELNHOFER

MEDICARE:   SARAH  KELNHOFER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1720765159
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH KELNHOFER
Provider Business Mailing Address
First Line : 56 N COLLEGE AVE UNIT 1
Second Line :
City : COLLEGE PLACE
State : WA
Zip : 99324-1048
Country : US
Telephone Number : 509-903-5903
Fax Number :
Provider Business Practice Location Address
First Line : 56 N COLLEGE AVE UNIT 1
Second Line :
City : COLLEGE PLACE
State : WA
Zip : 99324-1048
Country : US
Telephone Number : 509-903-5903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2023
Last Update Date : 07/20/2023

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Directions to “ SARAH KELNHOFER ” Practice Location

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