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General NPI Number Information
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NPI Number | 1073485694
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Entity Type | Individual
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Provider Name | SAREENA LYNN WATKINS
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1429 FLUSHING RD STE C
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City | FLUSHING
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State | MI
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Zip | 48433-2228
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Country | US
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Telephone | 734-600-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 2615 BROOKSIDE DR
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City | FLINT
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State | MI
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Zip | 48503-2873
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Country | US
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Telephone | 810-644-6564
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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 | 6451024040
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License Number State | MI
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