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General NPI Number Information
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NPI Number | 1164212940
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Entity Type | Organization
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Legal Business Name | DUPLEX PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5093 W BLUFFVIEW DR
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-1489
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Country | US
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Telephone | 269-240-3916
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Fax | 269-429-7727
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Provider Business Mailing Address
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Address Line | 5093 W BLUFFVIEW DR
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-1489
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Country | US
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Telephone | 269-240-3916
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Fax | 269-429-7727
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MARCUS YOUNGBERG
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Credential | LPC
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Telephone | 269-240-3916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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