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General NPI Number Information
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NPI Number | 1497527535
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Entity Type | Individual
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Provider Name | REBECCA IHLE LPC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 558 GRAVOIS RD STE L100
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City | FENTON
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State | MO
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Zip | 63026-4134
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Country | US
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Telephone | 636-496-7344
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Fax | 573-803-1405
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Provider Business Mailing Address
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Address Line | 12852 SHADOW LN
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1523
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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 | 2025050663
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License Number State | MO
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