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General NPI Number Information
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NPI Number | 1457060162
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Entity Type | Organization
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Legal Business Name | SUNSTONE COUNSELING PLLC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 5955 W MAIN ST STE 612
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City | KALAMAZOO
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State | MI
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Zip | 49009-9269
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Country | US
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Telephone | 269-359-7101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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Country | US
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Telephone | 517-676-9788
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. LINNEA RUTH HALFVARSON
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Credential | MA, LPC
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Telephone | 269-598-4714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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