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General NPI Number Information
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NPI Number | 1174272306
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Entity Type | Organization
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Legal Business Name | SPOTLIGHT COUNSELING, LLC
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 28475 GREENFIELD RD SUITE 113, #7021
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City | SOUTHFIELD
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State | MI
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Zip | 48076
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Country | US
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Telephone | 989-262-9384
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Fax |
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Provider Business Mailing Address
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Address Line | 11051 PEMBERTON DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-2063
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Country | US
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Telephone | 313-590-6802
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | KRZYSZTOF KUCHTA
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Credential | MA, LPC, NCC
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Telephone | 989-262-9384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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