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General NPI Number Information
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NPI Number | 1619891710
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Entity Type | Individual
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Provider Name | MS. KASEY MAE MIX
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 433 SEMINOLE RD STE 210
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City | NORTON SHORES
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State | MI
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Zip | 49444-3743
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Country | US
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Telephone | 231-888-2250
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Fax |
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Provider Business Mailing Address
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Address Line | 402 FARR RD
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City | NORTON SHORES
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State | MI
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Zip | 49444-9788
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Country | US
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Telephone | 231-563-0445
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | MI
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