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General NPI Number Information
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NPI Number | 1790159093
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Entity Type | Organization
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Legal Business Name | WITHINSIGHT COUNSELING AND HYPNOTHERAPY
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 3950 SUNFOREST CT FL 2
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City | TOLEDO
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State | OH
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Zip | 43623-4485
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Country | US
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Telephone | 419-450-2170
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Fax | 419-406-4590
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Provider Business Mailing Address
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Address Line | 5807 HAMPSHIRE LN
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City | YPSILANTI
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State | MI
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Zip | 48197-3206
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Country | US
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Telephone | 419-450-2170
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Fax | 419-406-4590
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Authorized Official
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Title or Position | OWNER
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Name | VIKKI RENEE GARDNER
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Credential | LPCC-S
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Telephone | 734-678-5869
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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 | #E3755
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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