Provider Information for 1649213794
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REBECCA LYNN KALASKY MA, LPC, NCC, CAADC
Sex: Female
NPI: 1649213794
Last Updated: 2015-06-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1649213794 | ||||||||
| Enumeration Date | 2006-06-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 28000 DEQUINDRE RD WARREN, MI 48092-2468 United States Phone: 586-753-0405 | Fax:586-753-0404 | ||||||||
| Primary Practice Address | 3950 S ROCHESTER RD #1400 ROCHESTER HILLS, MI 48307-5160 United States Phone: 248-844-6234 | Fax:248-844-6237 | ||||||||
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