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General NPI Number Information
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NPI Number | 1578960449
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Entity Type | Individual
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Provider Name | JANET MARIE WILLIAMS LLP, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 516 E COLBY ST
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City | WHITEHALL
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State | MI
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Zip | 49461-1104
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Country | US
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Telephone | 231-893-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 1495 S WOLF LAKE RD
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City | MUSKEGON
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State | MI
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Zip | 49442-4837
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Country | US
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Telephone | 231-903-7775
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401010505
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301013669
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 1-04794
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License Number State | MI
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