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NPI Code Detail

MEDICARE: KATHRYN FENSTER LPC

MEDICARE: KATHRYN FENSTER LPC
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 CounselorLPC-23091AZ

General Provider Information

NPI Number : 1912668823
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN FENSTER LPC
Provider Business Mailing Address
First Line : 914 N SAN FRANCISCO ST STE P
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3254
Country : US
Telephone Number : 623-695-7980
Fax Number :
Provider Business Practice Location Address
First Line : 914 N SAN FRANCISCO ST STE P
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3254
Country : US
Telephone Number : 623-695-7980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 06/12/2026

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Directions to “ KATHRYN FENSTER LPC” Practice Location

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