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General NPI Number Information
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NPI Number | 1255595112
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Entity Type | Individual
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Provider Name | MICHELLE DUTCHER MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 8040 ORTONVILLE RD STE A
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City | CLARKSTON
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State | MI
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Zip | 48348-4468
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Country | US
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Telephone | 248-444-3374
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Fax | 248-856-2697
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Provider Business Mailing Address
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Address Line | 7325 INGOMAR LN
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City | CLARKSTON
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State | MI
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Zip | 48348-5402
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Country | US
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Telephone | 248-444-3374
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401009631
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License Number State | MI
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Taxonomy #2
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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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