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General NPI Number Information
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NPI Number | 1104705599
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Entity Type | Organization
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Legal Business Name | ANOMALOUS EXPEDITIONS HOLISTIC COUNSELING LLC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 3773 ROGERS RD
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City | MIDLAND
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State | MI
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Zip | 48642-8703
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Country | US
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Telephone | 989-708-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 3773 ROGERS RD
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City | MIDLAND
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State | MI
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Zip | 48642-8703
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Country | US
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Telephone | 989-708-0881
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | TARA LAFRAMBOISE
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Credential | MSW, LMSW, CADC
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Telephone | 989-207-2831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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