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General NPI Number Information
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NPI Number | 1174826812
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Entity Type | Individual
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Provider Name | CAROLYNN MEREDITH METZ LPC, CAADC, CCS-R
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Gender | Female
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 20651 W WARREN ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2698
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Country | US
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Telephone | 313-271-3050
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Fax |
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Provider Business Mailing Address
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Address Line | 28325 ROCKWOOD ST
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-3639
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Country | US
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Telephone | 586-854-4657
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6401008009
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License Number State | MI
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