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General NPI Number Information
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NPI Number | 1053067389
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Entity Type | Organization
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Legal Business Name | JESSY GIGOWSKI LLC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 11/23/2023
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Provider Practice Location Address
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Address Line | 236 S ANGOLA RD
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City | COLDWATER
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State | MI
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Zip | 49036-9501
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Country | US
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Telephone | 616-213-1621
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Fax |
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Provider Business Mailing Address
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Address Line | 236 S ANGOLA RD
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City | COLDWATER
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State | MI
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Zip | 49036-9501
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Country | US
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Telephone | 616-213-1621
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. JESSY GIGOWSKI
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Credential | LPC
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Telephone | 616-213-1621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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