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General NPI Number Information
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NPI Number | 1053229823
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Entity Type | Individual
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Provider Name | KATHLEEN SMIGELS LPC, NCC, CADC, CPRM
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 1719 CROOKS RD
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City | ROYAL OAK
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State | MI
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Zip | 48067-1306
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Country | US
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Telephone | 248-417-9993
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Fax |
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Provider Business Mailing Address
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Address Line | 245 HENDRICKSON BLVD
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City | CLAWSON
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State | MI
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Zip | 48017-1691
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Country | US
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Telephone | 248-417-9993
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401224462
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License Number State | MI
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