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General NPI Number Information
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NPI Number | 1437967155
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Entity Type | Organization
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Legal Business Name | KAREN DEKETT COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 21610 E 11 MILE RD STE 5A
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-1671
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Country | US
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Telephone | 586-209-4410
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Fax |
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Provider Business Mailing Address
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Address Line | 31241 SAN JUAN ST
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City | HARRISON TOWNSHIP
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State | MI
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Zip | 48045-1499
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Country | US
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Telephone | 586-209-4410
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Fax |
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Authorized Official
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Title or Position | OWNER AND LEAD THERAPIST
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Name | KAREN WULLAERT DEKETT
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Credential | LPC
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Telephone | 586-209-4410
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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 |
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License Number State |
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