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General NPI Number Information
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NPI Number | 1043735319
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Entity Type | Organization
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Legal Business Name | CATALYST COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 124 PEARL ST STE 401
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City | YPSILANTI
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State | MI
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Zip | 48197-2663
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Country | US
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Telephone | 734-606-9802
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Fax |
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Provider Business Mailing Address
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Address Line | 3904 CLOVERLAWN AVE
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City | YPSILANTI
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State | MI
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Zip | 48197-8611
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOLOGIST
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Name | DR. ROSIE MISHELLE RODRIGUEZ
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Credential | PHD, LP
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Telephone | 734-606-9802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6301016377
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License Number State | MI
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