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General NPI Number Information
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NPI Number | 1467196758
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Entity Type | Organization
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Legal Business Name | LKC COUNSELING, PLLC
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Dates
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Enumeration Date | 04/23/2022
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 500 CHARTIER STE A
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City | MARINE CITY
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State | MI
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Zip | 48039-2345
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Country | US
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Telephone | 586-244-8417
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12
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City | MARINE CITY
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State | MI
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Zip | 48039-0012
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Country | US
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Telephone | 586-244-8417
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | LARENA K CHERRY
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Credential | LPC
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Telephone | 586-215-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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