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General NPI Number Information
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NPI Number | 1285504373
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Entity Type | Individual
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Provider Name | BRITTANY NICOLE MARKLEWITZ LPC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1149 E 11TH ST
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City | CASA GRANDE
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State | AZ
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Zip | 85122-3609
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Country | US
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Telephone | 602-769-2142
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Fax |
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Provider Business Mailing Address
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Address Line | 17518 W VENTURA ST
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City | SURPRISE
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State | AZ
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Zip | 85388-7802
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 46.004391
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-19854
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License Number State | AZ
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