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General NPI Number Information
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NPI Number | 1245652601
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Entity Type | Individual
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Provider Name | AMY KATHRYN FOLSOM LPC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2014
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 110 S AUBURN RD
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City | AUBURN
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State | MI
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Zip | 48611-9366
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Country | US
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Telephone | 989-545-1358
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Fax | 989-393-2012
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Provider Business Mailing Address
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Address Line | 3333 PARKWAY DR
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City | BAY CITY
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State | MI
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Zip | 48706-6201
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Country | US
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Telephone | 989-274-8891
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Fax | 989-393-2012
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401007414
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License Number State | MI
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