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NPI 1295525343

NPI 1295525343 : AFFINITY COUNSELING & WELLNESS, PLLC : SOLON, IA

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General NPI Number Information
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    NPI Number           |    1295525343
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    Entity Type          |    Organization 
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    Legal Business Name  |    AFFINITY COUNSELING & WELLNESS, PLLC 
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Dates
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    Enumeration Date     |    05/12/2025
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    2272 SUGAR BOTTOM RD NE 
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    City                 |    SOLON
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    State                |    IA
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    Zip                  |    52333-9589
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    Country              |    US
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    Telephone            |    319-333-0399
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2272 SUGAR BOTTOM RD NE 
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    City                 |    SOLON
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    State                |    IA
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    Zip                  |    52333-9589
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SUSAN  BOCK 
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    Credential           |    LMHC
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    Telephone            |    319-333-0399
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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       |    
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    License Number State |    
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