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General NPI Number Information
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NPI Number | 1467327098
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Entity Type | Individual
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Provider Name | KALEY CHRISTINA MACLEOD LLPC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 4576 W WALTON BLVD
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City | WATERFORD
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State | MI
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Zip | 48329-4905
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Country | US
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Telephone | 248-618-3920
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Fax | 248-497-5599
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Provider Business Mailing Address
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Address Line | 4576 W WALTON BLVD
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City | WATERFORD
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State | MI
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Zip | 48329-4905
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Country | US
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Telephone | 248-618-3920
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Fax | 248-479-5599
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451024573
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License Number State | MI
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