| Doctor Name: | REBECCA LOVE |
| NPI Number: | 1285927954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 6401010197 |
| Business Practice Address: | 1501 Krafft Rd Fort Gratiot, MI - 480593565 |
| Business Phone Number: | 8109855125 |
| Business Fax Number: | |
| Mailing Address: | 1979 Somerset Blvd, #122 TROY |
| State: | MI |
| Postal Code: | 480844041 |
| Phone Number: | 7345163013 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2011 |
| NPI Last Update Date: | 03/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401010197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |