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General NPI Number Information
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NPI Number | 1194200345
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Entity Type | Organization
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Legal Business Name | CLEAR VISIONS COUNSELING
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 7150 KALAMAZOO AVE SE SUITE C
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City | CALEDONIA
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State | MI
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Zip | 49316
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Country | US
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Telephone | 616-466-8357
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 KALAMAZOO AVE SE SUITE C
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City | CALEDONIA
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State | MI
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Zip | 49316
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Country | US
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Telephone | 616-446-8357
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WESLEY WASHINGTON
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Credential | LPC
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Telephone | 616-466-8357
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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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