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General NPI Number Information
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NPI Number | 1558536862
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Entity Type | Organization
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Legal Business Name | JOHN WALTER MICHELS; STEP BY STEP COUNSELING SERVICES
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 3610 AVENUE Q STE 213
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City | LUBBOCK
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State | TX
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Zip | 79412-1246
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Country | US
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Telephone | 806-224-3947
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 AVENUE Q STE 213
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City | LUBBOCK
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State | TX
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Zip | 79412-1246
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Country | US
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Telephone | 806-224-3947
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN W MICHELS
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Credential | MA LPC LSOTP
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Telephone | 806-224-3947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 17210
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License Number State | TX
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