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General NPI Number Information
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NPI Number | 1306097241
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 11 E CARLETON RD
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City | HILLSDALE
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State | MI
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Zip | 49242-1619
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Country | US
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Telephone | 517-437-7100
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Fax | 517-437-7101
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Provider Business Mailing Address
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Address Line | 11 E CARLETON RD
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City | HILLSDALE
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State | MI
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Zip | 49242-1619
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Country | US
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Telephone | 517-437-7100
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Fax | 517-437-7101
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Authorized Official
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Title or Position | OWNER
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Name | MS. LILLIAN JANE NUNEZ
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Credential | MA, LPC
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Telephone | 517-437-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6401006080
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License Number State | MI
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