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General NPI Number Information
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NPI Number | 1669939815
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Entity Type | Organization
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Legal Business Name | KEY CONCEPTS COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2517 E MOUNT HOPE AVE STE 12
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City | LANSING
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State | MI
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Zip | 48910-1924
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Country | US
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Telephone | 517-709-8311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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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 | CREDENTIALING
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Name | MARY BETH HOUPT
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Credential |
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Telephone | 517-676-9797
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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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