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General NPI Number Information
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NPI Number | 1851025951
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Entity Type | Individual
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Provider Name | REBEKAH NICOLE GUMM LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 1001 SW HIGGINS AVE STE 201
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City | MISSOULA
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State | MT
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Zip | 59803-1340
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Country | US
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Telephone | 406-880-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 5560 EXPEDITION DR
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City | LOLO
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State | MT
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Zip | 59847-9646
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Country | US
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Telephone | 406-880-7450
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-PCLC-LIC-56895
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-70433
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License Number State | MT
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