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General NPI Number Information
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NPI Number | 1679036867
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Entity Type | Organization
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Legal Business Name | BENAVIDES COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 04/13/2019
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 603 E 16TH ST STE 260
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City | HOLLAND
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State | MI
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Zip | 49423-3796
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Country | US
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Telephone | 616-737-9125
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Fax | 616-737-9575
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Provider Business Mailing Address
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Address Line | 272 W 14TH ST
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City | HOLLAND
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State | MI
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Zip | 49423-3309
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Country | US
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Telephone | 616-510-6921
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Fax |
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Authorized Official
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Title or Position | CEO, LICENSED PROFESSIONAL COUNSELO
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Name | MARIA E BENAVIDES
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Credential | MA, LPC, CAADC
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Telephone | 616-737-9125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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