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General NPI Number Information
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NPI Number | 1720787377
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Entity Type | Individual
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Provider Name | SUSAN RANSOM KLEMMER LMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 595 SEA OATS DR
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City | SANIBEL
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State | FL
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Zip | 33957-5416
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Country | US
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Telephone | 571-206-4848
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | SANIBEL
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State | FL
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Zip | 33957-0132
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Country | US
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Telephone | 703-568-3708
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0704015583
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License Number State | VA
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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 | MH25749
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License Number State | FL
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