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NPI 1649108309

NPI 1649108309 : LAUREN MICHELS BSW, CASAC-P : AUBURN, NY

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General NPI Number Information
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    NPI Number           |    1649108309
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN MICHELS BSW, CASAC-P
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/12/2026
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    Last Update Date     |    05/12/2026
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Provider Practice Location Address
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    Address Line         |    180 GENESEE ST 
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    City                 |    AUBURN
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    State                |    NY
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    Zip                  |    13021-3401
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    Country              |    US
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    Telephone            |    315-409-9043
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 90 
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    City                 |    PORT BYRON
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    State                |    NY
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    Zip                  |    13140-0090
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    32336
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    License Number State |    NM
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