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General NPI Number Information
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NPI Number | 1639671449
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Entity Type | Organization
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Legal Business Name | RECOARSE COUNSELING, PLLC
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 04/07/2018
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Provider Practice Location Address
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Address Line | 612 S CREYTS RD STE B
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City | LANSING
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State | MI
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Zip | 48917-8266
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Country | US
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Telephone | 517-285-0527
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Fax | 517-220-4694
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Provider Business Mailing Address
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Address Line | 612 S CREYTS RD STE B
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City | LANSING
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State | MI
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Zip | 48917-8266
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Country | US
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Telephone | 517-285-0527
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Fax | 517-220-4694
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | DR. DEBRA J FARRELL
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Credential | PHD, LPC, CCMHC, NCC
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Telephone | 517-285-0527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201000678
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401012447
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License Number State | MI
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