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General NPI Number Information
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NPI Number | 1174407936
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Entity Type | Organization
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Legal Business Name | AIELLO COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1328 JENKS ST
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City | PORT HURON
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State | MI
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Zip | 48060-5117
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Country | US
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Telephone | 810-334-8895
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Fax |
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Provider Business Mailing Address
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Address Line | 1328 JENKS ST
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City | PORT HURON
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State | MI
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Zip | 48060-5117
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Country | US
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Telephone | 810-334-8895
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | TIMOTHY AIELLO
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Credential | MA, LPC, ADHD-CCSP
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Telephone | 810-334-8846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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