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General NPI Number Information
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NPI Number | 1265917678
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Entity Type | Organization
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Legal Business Name | COMPLETE COUNSELING CENTER
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 721 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-2484
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Country | US
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Telephone | 517-546-4445
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Fax | 517-546-2875
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Provider Business Mailing Address
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Address Line | 721 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-2484
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Country | US
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Telephone | 517-464-4455
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Fax | 517-546-2875
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RICHARD M SMITH
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Credential |
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Telephone | 517-546-4445
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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 |
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License Number State |
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