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General NPI Number Information
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NPI Number | 1629882659
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Entity Type | Individual
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Provider Name | DAWN CEBALLOS M.A., NCC., LLPC.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1505 MILITARY ST
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City | DETROIT
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State | MI
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Zip | 48209-2055
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Country | US
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Telephone | 313-576-7655
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Fax |
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Provider Business Mailing Address
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Address Line | 2824 LASALLE GDNS
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City | LANSING
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State | MI
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Zip | 48912-4135
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Country | US
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Telephone |
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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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 |
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License Number State |
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