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General NPI Number Information
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NPI Number | 1487106027
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Entity Type | Individual
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Provider Name | KEMARA LYN ALLEN MA. LLPC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 1681 WINGATE BLVD
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City | YPSILANTI
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State | MI
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Zip | 48198-6531
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Country | US
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Telephone | 734-787-0992
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Fax |
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Provider Business Mailing Address
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Address Line | 1681 WINGATE BLVD
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City | YPSILANTI
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State | MI
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Zip | 48198-6531
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Country | US
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Telephone | 931-787-3953
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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 | 6401016239
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License Number State | MI
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