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General NPI Number Information
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NPI Number | 1780400580
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Entity Type | Organization
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Legal Business Name | ALIGNED COUNSELING
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 115 N 2ND ST
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City | ROSCOMMON
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State | MI
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Zip | 48653-9209
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Country | US
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Telephone | 810-837-2046
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Fax |
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Provider Business Mailing Address
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Address Line | 802 E BURNS LINE RD
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City | MELVIN
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State | MI
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Zip | 48454-9785
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Country | US
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Telephone | 810-837-2046
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Fax |
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Authorized Official
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Title or Position | OWNER, COUNSELOR
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Name | AMANDA K FACKLER
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Credential | LPC
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Telephone | 810-837-2046
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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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