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General NPI Number Information
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NPI Number | 1306221031
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Entity Type | Organization
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Legal Business Name | DARDEN COUNSELING SERVICES INC
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 740 CENTER ST
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City | CLIO
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State | MI
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Zip | 48420-1134
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Country | US
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Telephone | 810-686-7313
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Fax | 810-686-7315
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Provider Business Mailing Address
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Address Line | 740 CENTER ST
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City | CLIO
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State | MI
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Zip | 48420-1134
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Country | US
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Telephone | 810-686-7313
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Fax | 810-686-7315
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Authorized Official
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Title or Position | PRESIDENT/CLINICAL THERAPIST
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Name | MRS. LASHIELA C. DARDEN
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Credential | LMSW
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Telephone | 810-610-4973
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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 | 6801087422
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License Number State | MI
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