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General NPI Number Information
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NPI Number | 1174019756
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Entity Type | Organization
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Legal Business Name | C3 - CILUFFO COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 318 S BRIDGE ST
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City | BELDING
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State | MI
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Zip | 48809-1764
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Country | US
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Telephone | 616-902-6232
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Fax |
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Provider Business Mailing Address
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Address Line | 360 E TUTTLE RD LOT 141
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City | IONIA
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State | MI
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Zip | 48846-8624
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Country | US
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Telephone | 616-902-6232
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Fax |
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Authorized Official
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Title or Position | OWNER. THERAPIST
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Name | AMANDA M CILUFFO
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Credential | LPC, CAADC
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Telephone | 616-902-6232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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