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General NPI Number Information
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NPI Number | 1306483706
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Entity Type | Organization
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Legal Business Name | HEALING JOURNEY COUNSELING PLLC
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 240 W MAIN ST STE 2600
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City | MIDLAND
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State | MI
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Zip | 48640-5191
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Country | US
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Telephone | 989-890-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 4581 VAL CT
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City | AUBURN
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State | MI
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Zip | 48611-9522
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Country | US
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Telephone | 989-890-5123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA CIACICH
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Credential |
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Telephone | 989-890-5123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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