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General NPI Number Information
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NPI Number | 1619149200
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Entity Type | Individual
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Provider Name | JEANNE L KLUSMAN LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 610 S BURDICK ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-5221
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Country | US
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Telephone | 269-373-6000
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Fax | 269-553-8012
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Provider Business Mailing Address
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Address Line | 610 S BURDICK ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-5221
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Country | US
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Telephone | 269-553-6000
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Fax | 269-553-8012
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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 | MH10275
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401223900
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License Number State | MI
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