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General NPI Number Information
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NPI Number | 1457697385
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Entity Type | Individual
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Provider Name | JANICE FELLER LPC
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Gender | Female
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Dates
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Enumeration Date | 12/21/2012
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 5955 W MAIN ST
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City | KALAMAZOO
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State | MI
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Zip | 49009-9101
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Country | US
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Telephone | 269-525-4374
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Fax | 269-210-2484
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Provider Business Mailing Address
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Address Line | 5955 W MAIN ST
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City | KALAMAZOO
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State | MI
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Zip | 49009-9101
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Country | US
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Telephone | 269-525-4374
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Fax | 269-210-2484
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401013197
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401013197
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License Number State | MI
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