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General NPI Number Information
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NPI Number | 1770391658
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Entity Type | Organization
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Legal Business Name | REBECCA GREENE MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 175 KENT AVE APT 610
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City | BROOKLYN
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State | NY
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Zip | 11249-5289
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Country | US
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Telephone | 917-757-0748
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Fax |
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Provider Business Mailing Address
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Address Line | 144 N 7TH ST # 426
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City | BROOKLYN
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State | NY
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Zip | 11249-2920
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | REBECCA GREENE
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Credential | M.A., ED.M
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Telephone | 917-757-0748
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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 |
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License Number State |
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