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General NPI Number Information
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NPI Number | 1194104364
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Entity Type | Individual
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Provider Name | JARRETTE WRIGHT-BOOKER LPC, CAADC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 21630 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48219-3209
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Country | US
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Telephone | 313-207-5581
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Fax |
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Provider Business Mailing Address
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Address Line | 21630 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48219-3209
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Country | US
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Telephone | 313-207-5581
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-03379
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401012992
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401012992
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License Number State | MI
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