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General NPI Number Information
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NPI Number | 1558932160
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Entity Type | Organization
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Legal Business Name | MIKAELA MCKEE COUNSELING, LLC
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 2700 W 21ST ST STE 29
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City | ERIE
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State | PA
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Zip | 16506-2972
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Country | US
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Telephone | 716-361-1463
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Fax |
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Provider Business Mailing Address
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Address Line | 4535 SOUTHWESTERN BLVD STE 206A
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City | HAMBURG
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State | NY
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Zip | 14075-1861
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Country | US
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Telephone | 716-361-1463
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MIKAELA MCKEE
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Credential | LCSW
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Telephone | 716-361-1463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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