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General NPI Number Information
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NPI Number | 1649375999
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Entity Type | Individual
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Provider Name | BARBARA JILL ROSSEN ACSW, LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/12/2016
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Provider Practice Location Address
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Address Line | 2875 NORTHWIND DR SUITE 110
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City | EAST LANSING
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State | MI
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Zip | 48823-5092
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Country | US
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Telephone | 517-332-7050
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Fax | 517-332-7552
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Provider Business Mailing Address
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Address Line | PO BOX 2257
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City | CHESTERTON
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State | IN
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Zip | 46304-0357
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Country | US
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Telephone | 219-926-8320
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Fax | 219-926-3524
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6801013805
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License Number State | MI
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