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General NPI Number Information
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NPI Number | 1407149107
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Entity Type | Individual
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Provider Name | CHRIS ALAN CAUSEY MA
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Gender | Male
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 346 E MASTHEAD DR STE 101
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City | HOLLAND
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State | MI
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Zip | 49423-8157
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Country | US
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Telephone | 206-679-8722
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Fax |
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Provider Business Mailing Address
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Address Line | 346 E MASTHEAD DR STE 101
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City | HOLLAND
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State | MI
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Zip | 49423-8157
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Country | US
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Telephone |
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Fax |
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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 | LH60232073
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License Number State | WA
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