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General NPI Number Information
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NPI Number | 1639386253
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Entity Type | Individual
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Provider Name | RACHEL VALERA REVES MFT, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3500 CHICOT ST IST FLOOR
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City | PASCAGOULA
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State | MS
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Zip | 39581-4316
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Country | US
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Telephone | 228-938-6869
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Fax |
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Provider Business Mailing Address
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Address Line | 6804 HUMPHREY RD
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City | VANCLEAVE
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State | MS
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Zip | 39565-9257
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Country | US
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Telephone | 228-826-9034
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Fax | 228-826-9034
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1370
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 667
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License Number State | LA
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