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General NPI Number Information
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NPI Number | 1023357209
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Entity Type | Individual
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Provider Name | TAMMY MICHELE LITTLEFIELD CRC, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 4646 JOHN R ST
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City | DETROIT
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State | MI
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Zip | 48201-1916
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Country | US
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Telephone | 313-576-3679
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Fax |
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Provider Business Mailing Address
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Address Line | 46544 DONAHUE AVE
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City | MACOMB
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State | MI
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Zip | 48044-3426
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Country | US
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Telephone | 586-228-8189
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 65943
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401009231
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | SC000800
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License Number State | MI
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