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General NPI Number Information
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NPI Number | 1073683397
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Entity Type | Individual
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Provider Name | JEFFREY WALLACE SPIER M.A., L.L.P., CEAP
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 23400 MICHIGAN AVE SUITE 702
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City | DEARBORN
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State | MI
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Zip | 48124-1924
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Country | US
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Telephone | 313-274-7010
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Fax | 313-274-3010
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Provider Business Mailing Address
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Address Line | 1017 LAWNDALE DR
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City | ROYAL OAK
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State | MI
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Zip | 48067-1142
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Country | US
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Telephone | 248-414-2067
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Fax | 313-274-3010
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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 | MH 2282
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 009203
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License Number State | MI
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