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General NPI Number Information
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NPI Number | 1770405573
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Entity Type | Organization
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Legal Business Name | SAGE & SPRUCE COUNSELING PLLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 809 MEADOWDALE ST
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City | FERNDALE
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State | MI
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Zip | 48220-3207
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Country | US
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Telephone | 313-241-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 809 MEADOWDALE ST
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City | FERNDALE
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State | MI
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Zip | 48220-3207
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Country | US
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Telephone | 313-241-4414
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH CLINICIAN
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Name | JESSICA HOGAN
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Credential | MA, LPC, SCL
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Telephone | 313-241-4414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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