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NPI Code Detail

MEDICARE: MS. REBECCA KITE LMHC

MEDICARE: MS. REBECCA KITE LMHC
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
1101YM0800XMental Health CounselorMH8753FL

General Provider Information

NPI Number : 1659401008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA KITE LMHC
Provider Business Mailing Address
First Line : PO BOX 754
Second Line :
City : WEWAHITCHKA
State : FL
Zip : 32465-0754
Country : US
Telephone Number : 850-769-6001
Fax Number : 850-769-6003
Provider Business Practice Location Address
First Line : 648 FLORIDA AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-6311
Country : US
Telephone Number : 850-769-6001
Fax Number : 850-769-6003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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