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General NPI Number Information
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NPI Number | 1619112836
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Entity Type | Individual
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Provider Name | MITCHELL B WALINSKI MA, LLPC, CAAC
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Gender | Male
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 200 ORLEANS BLVD
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City | COLDWATER
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State | MI
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Zip | 49036-1767
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Country | US
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Telephone | 517-462-6642
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Fax | 269-993-4264
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Provider Business Mailing Address
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Address Line | 196 E ROSE RD
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City | COLDWATER
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State | MI
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Zip | 49036-9751
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Country | US
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Telephone | 517-462-6642
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Fax | 269-993-4264
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 6802084115
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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 | 6401010969
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License Number State | MI
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