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General NPI Number Information
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NPI Number | 1437661162
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Entity Type | Organization
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Legal Business Name | OAK TREE COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 2350 WASHTENAW AVE STE 4
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City | ANN ARBOR
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State | MI
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Zip | 48104-4525
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Country | US
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Telephone | 810-338-4455
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Fax | 517-920-4702
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Provider Business Mailing Address
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Address Line | 2350 WASHTENAW AVE STE 6A
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City | ANN ARBOR
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State | MI
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Zip | 48104-4532
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Country | US
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Telephone | 810-338-4455
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Fax | 517-920-4702
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | CECILIA SHARP
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Credential | MEDICAL BILLER
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Telephone | 517-920-4602
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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 | 6801097455
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License Number State | MI
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