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General NPI Number Information
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NPI Number | 1265086136
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Entity Type | Organization
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Legal Business Name | VENTURE COUNSELING
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 198 S. MAIN STREET SUITE 2
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043
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Country | US
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Telephone | 586-466-5960
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Fax | 586-466-5961
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Provider Business Mailing Address
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Address Line | 17187 CANVASBACK
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038
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Country | US
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Telephone | 586-216-5837
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Fax | 586-466-5961
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAURA CARDAMONE
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Credential | LMSW
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Telephone | 586-216-5837
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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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