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General NPI Number Information
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NPI Number | 1558728915
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Entity Type | Individual
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Provider Name | YALONDA VICTORIA STEELE CRC LPC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 11800 MERRIMAN 510896
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City | LIVONIA
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State | MI
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Zip | 48151
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Country | US
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Telephone | 586-935-2591
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Fax |
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Provider Business Mailing Address
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Address Line | 11800 MERRIMAN 510896
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City | LIVONIA
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State | MI
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Zip | 48151
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Country | US
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Telephone | 586-935-2591
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 6401224300
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License Number State | MI
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