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General NPI Number Information
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NPI Number | 1083361174
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Entity Type | Organization
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Legal Business Name | ARCH AND EXPANSE COUNSELING, LLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 623 E FOREST AVE
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City | YPSILANTI
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State | MI
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Zip | 48198-3007
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Country | US
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Telephone | 734-544-5610
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Fax |
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Provider Business Mailing Address
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Address Line | 623 E FOREST AVE
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City | YPSILANTI
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State | MI
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Zip | 48198-3007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | BRIANA CHALKER
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Credential |
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Telephone | 734-544-5610
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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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