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General NPI Number Information
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NPI Number | 1053204909
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Entity Type | Organization
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Legal Business Name | BLOSSOMING INSIGHT COUNSELING PLLC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2360 W JEFFERSON AVE STE 209
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City | TRENTON
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State | MI
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Zip | 48183-0139
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Country | US
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Telephone | 734-391-6886
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Fax |
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Provider Business Mailing Address
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Address Line | 28476 BARBARA LN
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City | GROSSE ILE
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State | MI
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Zip | 48138-2001
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Country | US
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Telephone | 734-391-6886
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Fax |
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Authorized Official
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Title or Position | OWNER/LPC
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Name | ANGEL PALUSKAS
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Credential | LPC
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Telephone | 734-391-6886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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