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General NPI Number Information
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NPI Number | 1568835924
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Entity Type | Organization
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Legal Business Name | STEPPING STONES COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 11/07/2015
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 31205 23 MILE RD
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City | CHESTERFIELD
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State | MI
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Zip | 48047-1848
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Country | US
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Telephone | 586-213-1850
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Fax |
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Provider Business Mailing Address
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Address Line | 31205 23 MILE RD
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City | CHESTERFIELD
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State | MI
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Zip | 48047-1848
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Country | US
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Telephone | 586-213-1850
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DIANA MONACO
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Credential | LMSW, CAADC, CCDP-D
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Telephone | 586-707-3545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801093424
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License Number State | MI
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