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General NPI Number Information
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NPI Number | 1558194118
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Entity Type | Individual
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Provider Name | KELSIE E HALSTED
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Gender | Female
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 411 W LAKE LANSING RD STE B110
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City | EAST LANSING
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State | MI
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Zip | 48823-8468
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Country | US
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Telephone | 517-657-3533
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Fax | 517-580-0530
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Provider Business Mailing Address
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Address Line | 1060 AARON DR APT 506
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City | DEWITT
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State | MI
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Zip | 48820-7976
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Country | US
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Telephone | 517-743-1297
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6451024456
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License Number State | MI
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