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General NPI Number Information
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NPI Number | 1740746387
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Entity Type | Organization
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Legal Business Name | CRUTCHFIELD COUNSELING
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 514 E WILLIAM ST STE A
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City | ANN ARBOR
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State | MI
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Zip | 48104-2446
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Country | US
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Telephone | 734-489-1891
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Fax |
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Provider Business Mailing Address
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Address Line | 519 E MAIN ST
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City | MANCHESTER
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State | MI
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Zip | 48158-8690
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Country | US
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Telephone | 734-717-4246
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. RACHEL CRUTCHFIELD
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Credential | LMSW
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Telephone | 734-717-4246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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