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General NPI Number Information
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NPI Number | 1558635094
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Entity Type | Organization
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Legal Business Name | SHARED-STEPS COUNSELING & CONSULTATION SERVICES PC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 7040 ROLLING OAKS LN
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City | MIDDLEVILLE
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State | MI
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Zip | 49333-8409
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Country | US
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Telephone | 616-262-5982
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Fax |
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Provider Business Mailing Address
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Address Line | 7040 ROLLING OAKS LN
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City | MIDDLEVILLE
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State | MI
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Zip | 49333-8409
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Country | US
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Telephone | 616-262-5982
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE A SCHAEFER-SPACE
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Credential | MS, LLP
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Telephone | 616-262-5982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 6301007868
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License Number State | MI
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