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General NPI Number Information
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NPI Number | 1245325331
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Entity Type | Individual
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Provider Name | CHRISTOPHER MARTIN VANSTEE MA,TLLP, LBSW, CAADC
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 215 W. MAIN ST.
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City | IONIA
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State | MI
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Zip | 48846-7506
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Country | US
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Telephone | 616-522-0687
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Fax | 616-522-0725
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Provider Business Mailing Address
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Address Line | PO BOX 75
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City | IONIA
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State | MI
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Zip | 48846-0075
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Country | US
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Telephone | 616-522-0687
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Fax | 616-522-0725
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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-02976
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6802071225
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6301015761
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License Number State | MI
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