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NPI 1306679972

NPI 1306679972 : TRUE NORTH INTEGRATIVE COUNSELING, LLC : ESSEXVILLE, MI

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General NPI Number Information
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    NPI Number           |    1306679972
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUE NORTH INTEGRATIVE COUNSELING, LLC 
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Dates
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    Enumeration Date     |    08/20/2024
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    Last Update Date     |    08/20/2024
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Provider Practice Location Address
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    Address Line         |    1105 LANGSTAFF ST 
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    City                 |    ESSEXVILLE
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    State                |    MI
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    Zip                  |    48732-1371
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    Country              |    US
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    Telephone            |    989-415-1128
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    Fax                  |    989-459-1617
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Provider Business Mailing Address
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    Address Line         |    1105 LANGSTAFF ST 
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    City                 |    ESSEXVILLE
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    State                |    MI
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    Zip                  |    48732-1371
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    Country              |    US
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    Telephone            |    989-415-1128
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    Fax                  |    989-459-1617
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Authorized Official
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    Title or Position    |    OWNER / CLINICAL SOCIAL WORKER
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    Name                 |     KAYLE AMBER SATTERWHITE 
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    Credential           |    LMSW, CAADC
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    Telephone            |    989-415-1128
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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       |    
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    License Number State |    
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