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General NPI Number Information
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NPI Number | 1972316453
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Entity Type | Individual
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Provider Name | REBECCA KLIK MA, LLMFT, LLPC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 2B S WASHINGTON ST
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City | OXFORD
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State | MI
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Zip | 48371-4971
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Country | US
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Telephone | 248-834-0614
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Fax |
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Provider Business Mailing Address
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Address Line | 68174 WINGATE CT
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City | WASHINGTON TOWNSHIP
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State | MI
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Zip | 48095-1247
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Country | US
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Telephone | 586-482-1964
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4151001168
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License Number State | MI
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