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General NPI Number Information
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NPI Number | 1457584732
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Entity Type | Individual
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Provider Name | CHRISTIN ANN PERRY-MICHALIK LPC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 41700 GARDENBROOK RD STE 110
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City | NOVI
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State | MI
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Zip | 48375
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Country | US
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Telephone | 734-956-0457
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Fax |
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Provider Business Mailing Address
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Address Line | 14247 MERRIMAN RD
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City | LIVONIA
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State | MI
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Zip | 48154-4262
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Country | US
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Telephone | 734-469-0816
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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 | 6401011503
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License Number State | MI
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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 | 6401011503
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License Number State | MI
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