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General NPI Number Information
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NPI Number | 1700184694
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Entity Type | Organization
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Legal Business Name | NORTH OAKLAND FAMILY COUNSELING CENTER P C
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 6887 DIXIE HWY STE A
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City | CLARKSTON
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State | MI
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Zip | 48346-5107
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Country | US
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Telephone | 248-620-1019
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Fax | 248-620-1026
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Provider Business Mailing Address
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Address Line | 6887 DIXIE HWY STE A
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City | CLARKSTON
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State | MI
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Zip | 48346-5107
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Country | US
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Telephone | 248-620-1019
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | ELISE FINCH-SOPHIEA
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Credential |
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Telephone | 248-620-1019
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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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