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General NPI Number Information
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NPI Number | 1508420811
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Entity Type | Organization
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Legal Business Name | HEATHER LAFOLLETTE, MS, MA, LPC, LLC
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 650 E BIG BEAVER RD
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City | TROY
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State | MI
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Zip | 48083-1432
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Country | US
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Telephone | 517-449-4284
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Fax | 248-817-5630
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Provider Business Mailing Address
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Address Line | 29658 WESTFIELD ST
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City | LIVONIA
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State | MI
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Zip | 48150-4092
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Country | US
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Telephone | 517-449-4284
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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 | HEATHER ANN LAFOLLETTE
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Credential | MS, MA, LPC
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Telephone | 517-449-4284
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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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