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General NPI Number Information
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NPI Number | 1508589094
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Entity Type | Organization
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Legal Business Name | RICHARD A MAIER LPC LLC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1428 44TH ST SW STE D
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City | WYOMING
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State | MI
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Zip | 49509-4312
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Country | US
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Telephone | 616-209-2222
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Fax | 616-259-4856
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Provider Business Mailing Address
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Address Line | 4451 BILLMAR ST SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-2203
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Country | US
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Telephone | 168-858-8010
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD MAIER
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Credential | LPC
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Telephone | 616-209-9222
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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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