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Contact Information

REBECCA A LONGSTREET, LPC, NCC
13001 23 MILE RD STE 103
SHELBY, MI48315
 Phone: 248-762-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for REBECCA A LONGSTREET · (Female)

NPI Number 1225465990
Status Active
Credentials LPC, NCC
Entity Individual
Enumeration date 09/26/2013
Last updated 11/12/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6401013232
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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