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General NPI Number Information
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NPI Number | 1588540702
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Entity Type | Organization
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Legal Business Name | SONNIE GOBERT MENTAL HEALTH THERAPY SERVICES
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 221 OAKRIDGE DR
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City | MARQUETTE
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State | MI
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Zip | 49855-8864
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Country | US
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Telephone | 906-235-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 221 OAKRIDGE DR
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City | MARQUETTE
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State | MI
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Zip | 49855-8864
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Country | US
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Telephone | 906-235-6650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SONNIE KIM GOBERT
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Credential | LMSW
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Telephone | 906-235-6650
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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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