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General NPI Number Information
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NPI Number | 1245189430
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Entity Type | Organization
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Legal Business Name | MAE COUNSELING PLLC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 2301 PACKARD ST
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City | ANN ARBOR
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State | MI
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Zip | 48104-6321
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Country | US
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Telephone | 734-768-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 PACKARD ST
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City | ANN ARBOR
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State | MI
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Zip | 48104-6321
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Country | US
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Telephone | 734-768-4055
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | HEIDI MAE NETHERTON
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Credential | MA, LPC, NCC
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Telephone | 734-972-6190
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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 |
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License Number State |
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