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General NPI Number Information
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NPI Number | 1639801483
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Entity Type | Organization
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Legal Business Name | NYA COUNSELING PLLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 6920 S CEDAR ST STE 8
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City | LANSING
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State | MI
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Zip | 48911-6924
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Country | US
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Telephone | 517-896-5900
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Fax | 833-596-1611
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Provider Business Mailing Address
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Address Line | 3520 FERNWOOD LN
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City | MASON
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State | MI
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Zip | 48854-9385
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Country | US
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Telephone | 517-896-5900
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Fax | 833-596-1611
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MR. ADDAM KILPATRICK
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Credential | LPC
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Telephone | 517-896-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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