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General NPI Number Information
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NPI Number | 1588111298
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Entity Type | Organization
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Legal Business Name | QUIES CHRISTIAN COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/10/2016
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Last Update Date | 09/10/2016
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Provider Practice Location Address
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Address Line | 4998 BELDING RD
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City | BELDING
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State | MI
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Zip | 48809-8569
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Country | US
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Telephone | 616-902-9007
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Fax |
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Provider Business Mailing Address
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Address Line | 3087 POTTERS RD
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City | IONIA
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State | MI
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Zip | 48846-8514
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Country | US
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Telephone | 616-902-9007
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Fax |
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Authorized Official
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Title or Position | LLPC
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Name | TAYLORA L BOOKIE
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Credential | MA, LLPC
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Telephone | 616-902-9007
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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