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General NPI Number Information
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NPI Number | 1457776502
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Entity Type | Organization
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Legal Business Name | YPSILANTI CENTER FOR THE FAMILY
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 32 N WASHINGTON ST SUITE 2
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City | YPSILANTI
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State | MI
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Zip | 48197-2662
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Country | US
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Telephone | 734-660-0661
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Fax |
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Provider Business Mailing Address
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Address Line | 32 N WASHINGTON ST SUITE 2
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City | YPSILANTI
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State | MI
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Zip | 48197-2662
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Country | US
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Telephone | 734-660-0661
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANET OKAGBUE-REAVES
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Credential |
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Telephone | 734-660-0661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6801078232
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6801078232
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801078232
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License Number State | MI
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