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General NPI Number Information
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NPI Number | 1861211427
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Entity Type | Organization
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Legal Business Name | RACHEL L KLEKOT COUNSELING, PC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 343 MAPLE LN
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City | CROWN POINT
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State | IN
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Zip | 46307-4544
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Country | US
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Telephone | 708-466-6990
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Fax | 219-500-2163
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Provider Business Mailing Address
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Address Line | 343 MAPLE LN
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City | CROWN POINT
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State | IN
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Zip | 46307-4544
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Country | US
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Telephone | 708-466-6990
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Fax | 219-500-2163
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | RACHEL KLEKOT
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Credential | MA, LCPC, LMHC
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Telephone | 708-466-6990
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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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