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General NPI Number Information
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NPI Number | 1689229528
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Entity Type | Organization
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Legal Business Name | JUBILEE XINIAN COUNSELING AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/18/2019
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Provider Practice Location Address
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Address Line | 2517 E MOUNT HOPE AVE STE 2
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City | LANSING
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State | MI
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Zip | 48910-1931
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Country | US
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Telephone | 517-245-0725
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Fax |
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Provider Business Mailing Address
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Address Line | 942 CRESENWOOD RD
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City | EAST LANSING
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State | MI
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Zip | 48823-4118
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Country | US
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Telephone | 517-245-0725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | XINYI FANG
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Credential | MA, LPC
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Telephone | 517-245-0725
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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 |
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License Number State |
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