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General NPI Number Information
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NPI Number | 1760452122
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Entity Type | Organization
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Legal Business Name | IONIA COUNTY COMMUNITY MENTAL HEALTH
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 375 APPLE TREE DR
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City | IONIA
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State | MI
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Zip | 48846-7506
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Country | US
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Telephone | 616-527-1790
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Fax | 616-527-0538
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Provider Business Mailing Address
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Address Line | 375 APPLE TREE DR
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City | IONIA
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State | MI
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Zip | 48846-7506
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Country | US
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Telephone | 616-527-1790
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Fax | 616-527-0538
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Authorized Official
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Title or Position | CEO
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Name | KERRY POSSEHN
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Credential |
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Telephone | 616-527-1790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | MI
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