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NPI 1588654396

NPI 1588654396 : JOYCE EVALYNNE TAMER M.A., L.P.C. : PAW PAW, MI

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General NPI Number Information
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    NPI Number           |    1588654396
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    Entity Type          |    Individual 
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    Provider Name        |    JOYCE EVALYNNE TAMER M.A., L.P.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/24/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    181 W MICHIGAN AVE SUITE #3
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    City                 |    PAW PAW
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    State                |    MI
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    Zip                  |    49079-1432
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    Country              |    US
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    Telephone            |    269-657-6025
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    Fax                  |    269-657-5198
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Provider Business Mailing Address
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    Address Line         |    3111 BRAMBLE DR 
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    City                 |    KALAMAZOO
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    State                |    MI
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    Zip                  |    49009-8044
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    Country              |    US
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    Telephone            |    269-372-1542
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    Fax                  |    269-657-5198
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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       |    6401009415
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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       |    6401009415
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    License Number State |    MI
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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       |    6401009415
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    License Number State |    MI
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