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General NPI Number Information
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NPI Number | 1770206062
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Entity Type | Individual
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Provider Name | MICHELLE LINN SUBIAS LPC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 14311 DICKENS ST APT 106
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-4129
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Country | US
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Telephone | 818-963-9261
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Fax |
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Provider Business Mailing Address
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Address Line | 14311 DICKENS ST APT 106
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-4129
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Country | US
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Telephone | 818-963-9261
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | TPMC4456
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0021173
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 87292
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2015002495
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License Number State | MO
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