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General NPI Number Information
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NPI Number | 1326950239
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Entity Type | Individual
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Provider Name | BLAKE KUEHN LLPC
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Gender | Male
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 415 MAIN ST STE A
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-3100
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Country | US
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Telephone | 269-408-1688
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Fax | 268-408-1692
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Provider Business Mailing Address
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Address Line | 131 E ARCH ST
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City | MARQUETTE
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State | MI
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Zip | 49855-3801
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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 | 6451025367
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License Number State | MI
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