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General NPI Number Information
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NPI Number | 1144866906
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Entity Type | Organization
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Legal Business Name | CENTERED COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 6572 RED ARROW HWY STE 2
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City | COLOMA
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State | MI
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Zip | 49038-8700
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Country | US
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Telephone | 269-205-3344
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Fax | 888-418-8655
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Provider Business Mailing Address
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Address Line | 8350 KEPHART LN
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-9570
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Country | US
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Telephone | 269-338-7963
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SANTIAGO OGANDO
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Credential |
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Telephone | 269-338-7963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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