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General NPI Number Information
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NPI Number | 1326522293
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Entity Type | Individual
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Provider Name | KRISTY LEE WEERSING LPC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 8333 FELCH ST
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City | ZEELAND
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State | MI
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Zip | 49464-2608
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Country | US
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Telephone | 167-413-7906
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Fax |
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Provider Business Mailing Address
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Address Line | 300 68TH ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49548-6927
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Country | US
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Telephone | 616-281-6363
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Fax | 616-222-4533
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 640104736
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License Number State | MI
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