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General NPI Number Information
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NPI Number | 1427408756
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Entity Type | Individual
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Provider Name | JAMIE BOIVIN LPC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2016
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 632 N SHIAWASSEE ST
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City | OWOSSO
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State | MI
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Zip | 48867-2232
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Country | US
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Telephone | 989-723-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 525 OKEMOS ST
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City | MASON
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State | MI
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Zip | 48854-1226
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Country | US
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Telephone | 517-833-8100
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6451022352
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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