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NPI 1235738774

NPI 1235738774 : HUFFMAN COUNSELING SERVICES : GRAND RAPIDS, MI

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General NPI Number Information
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    NPI Number           |    1235738774
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUFFMAN COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    10/24/2020
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    574 DIVISION AVE S 
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    City                 |    GRAND RAPIDS
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    State                |    MI
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    Zip                  |    49503-5112
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    Country              |    US
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    Telephone            |    616-828-9388
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 34 
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    City                 |    JENISON
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    State                |    MI
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    Zip                  |    49429-0034
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    Country              |    US
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    Telephone            |    616-828-9388
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |    MRS. OLIVIA PUENTE HUFFMAN 
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    Credential           |    LMSW
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    Telephone            |    616-209-8229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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