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General NPI Number Information
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NPI Number | 1457903122
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Entity Type | Organization
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Legal Business Name | INTENTIONAL JOURNEY COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1818 W CENTRE AVE
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City | PORTAGE
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State | MI
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Zip | 49024-5332
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Country | US
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Telephone | 269-312-7454
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Fax | 269-464-0349
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Provider Business Mailing Address
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Address Line | 1818 W CENTRE AVE
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City | PORTAGE
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State | MI
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Zip | 49024-5332
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Country | US
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Telephone | 269-312-7454
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Fax | 269-464-0349
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KRISTI JAYNE KAREL
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Credential | MSW, LMSW, CAADC
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Telephone | 269-588-1441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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