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General NPI Number Information
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NPI Number | 1457965410
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Entity Type | Organization
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Legal Business Name | WILLOW OAK COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 09/06/2020
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 429 N MCEWAN ST
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City | CLARE
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State | MI
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Zip | 48617-1402
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Country | US
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Telephone | 989-317-8668
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Fax | 989-355-0734
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Provider Business Mailing Address
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Address Line | 429 N MCEWAN ST
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City | CLARE
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State | MI
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Zip | 48617-1402
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Country | US
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Telephone | 989-317-8668
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Fax | 989-355-0734
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | HUNTER LALONE
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Credential |
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Telephone | 989-317-8668
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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 |
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License Number State |
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