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General NPI Number Information
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NPI Number | 1629860069
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Entity Type | Individual
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Provider Name | JEFF CHMIELEWSKI LLPC, ATR-P
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Gender | Male
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 29887 W 11 MILE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-1309
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Country | US
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Telephone | 248-476-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 5468 LAWNWOOD DR
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City | BRIGHTON
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State | MI
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Zip | 48114-9085
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Country | US
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Telephone | 810-599-1891
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 24-685
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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 | 6451023934
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License Number State | MI
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