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General NPI Number Information
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NPI Number | 1649754698
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Entity Type | Organization
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Legal Business Name | SOUND MIND COUNSELING, LLC
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Dates
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Enumeration Date | 09/15/2018
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Last Update Date | 09/15/2018
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Provider Practice Location Address
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Address Line | 2029 S ELMS RD STE 102
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-9766
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Country | US
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Telephone | 248-953-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 2029 S ELMS RD STE 102
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-9766
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Country | US
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Telephone | 248-953-1422
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Fax |
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Authorized Official
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Title or Position | OWNER, COUNSELOR
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Name | MR. RANDALL KASZYNSKI
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Credential | LLPC
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Telephone | 248-953-1422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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