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NPI Code Detail

MEDICARE: REBECCA LYNN MAY MAY MA

MEDICARE: REBECCA LYNN MAY MAY MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401018158MI
2101Y00000XCounselor6401018158MI
3101YM0800XMental Health Counselor6401018158MI

General Provider Information

NPI Number : 1073149175
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LYNN MAY MAY MA
Provider Business Mailing Address
First Line : 6145 CRYSTAL DR
Second Line :
City : ALLENDALE
State : MI
Zip : 49401-9788
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 985 PARCHMENT DR SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-3659
Country : US
Telephone Number : 616-275-4585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2020
Last Update Date : 04/05/2023

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Directions to “ REBECCA LYNN MAY MAY MA” Practice Location

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