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General NPI Number Information
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NPI Number | 1144347741
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Entity Type | Individual
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Provider Name | SHAWN MARIE KOLHOFF M.A., L.L.P.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/02/2025
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Provider Practice Location Address
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Address Line | 1125 E MILHAM AVE STE B
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City | PORTAGE
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State | MI
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Zip | 49002-3096
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Country | US
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Telephone | 269-312-1446
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Fax | 269-225-6949
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Provider Business Mailing Address
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Address Line | PO BOX 2174
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City | KALAMAZOO
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State | MI
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Zip | 49003-2174
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Country | US
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Telephone | 269-312-1446
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6301012543
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6361001249
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License Number State | MI
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