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General NPI Number Information
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NPI Number | 1407320393
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Entity Type | Individual
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Provider Name | EVELYN SCHUELE NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 667 E BIG BEAVER RD STE 107
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City | TROY
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State | MI
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Zip | 48083-1430
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Country | US
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Telephone | 248-250-6620
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 MONTROSE AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-2744
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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 | 6401016932
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License Number State | MI
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