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1184927865 NPI number — AUTUMN BROOKE DELNAT M.A., LPC, CSAYC

NPI Number: 1184927865
Health Care Provider/Practitioner: AUTUMN BROOKE DELNAT M.A., LPC, CSAYC

Information about “1184927865” NPI (AUTUMN BROOKE DELNAT M.A., LPC, CSAYC) exists in 1184927865 in HTML format HTML  |  1184927865 in plain Text format TXT  |  1184927865 in PDF (Portable Document Format) PDF  |  1184927865 in an XML format XML  formats.

NPI Number : 1184927865 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184927865",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DELNAT",
    "FirstName": "AUTUMN",
    "MiddleName": "BROOKE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "M.A., LPC, CSAYC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "103 1/2 PORTAGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THREE RIVERS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49093-1527",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-816-3070",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "30 N. MAIN ST.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THREE RIVERS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49093",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-858-9959",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/17/2010",
    "LastUpdateDate": "04/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "6401013610",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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