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1588802284 NPI number — RITA H. ASTZIAN LPC

NPI Number: 1588802284
Health Care Provider/Practitioner: RITA H. ASTZIAN LPC

Information about “1588802284” NPI (RITA H. ASTZIAN LPC) exists in 1588802284 in HTML format HTML  |  1588802284 in plain Text format TXT  |  1588802284 in PDF (Portable Document Format) PDF  |  1588802284 in an XML format XML  formats.

NPI Number : 1588802284 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588802284",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ASTZIAN",
    "FirstName": "RITA",
    "MiddleName": "H.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6549 TOWN CENTER DR STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLARKSTON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48346-4824",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-620-6400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "26522 VAN DYKE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CENTER LINE",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48015",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "587-594-4006",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/03/2009",
    "LastUpdateDate": "11/12/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "6401017382",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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