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General NPI Number Information
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NPI Number | 1083231013
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Entity Type | Individual
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Provider Name | KEVIN C DAUM MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 201 S UNIVERSITY AVE STE 102
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-2532
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Country | US
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Telephone | 989-546-7701
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Fax | 989-498-6762
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Provider Business Mailing Address
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Address Line | 1414 E LINCOLN ST
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-1956
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Country | US
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Telephone | 989-546-7701
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Fax | 989-498-6762
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451019224
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License Number State | MI
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