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General NPI Number Information
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NPI Number | 1578023420
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Entity Type | Individual
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Provider Name | AMBER MARIE HOLLAND LLPC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 176 S MAIN ST
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City | BROOKLYN
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State | MI
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Zip | 49230
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Country | US
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Telephone | 517-550-5423
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Fax | 517-245-1911
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Provider Business Mailing Address
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Address Line | PO BOX 279
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City | BROOKLYN
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State | MI
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Zip | 49230-0279
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Country | US
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Telephone | 517-550-5423
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Fax | 517-245-1911
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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 | 01016945
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401223153
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License Number State | MI
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