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General NPI Number Information
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NPI Number | 1619764115
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Entity Type | Organization
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Legal Business Name | KLEBER COUNSELING, PLLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 2409 REDWOOD TRL
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-5461
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Country | US
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Telephone | 217-649-9813
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 CHATHAM RD STE R
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 312-442-0270
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR/OWNER
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Name | JOHN KLEBER
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Credential | LCPC
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Telephone | 217-649-9813
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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 |
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License Number State |
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