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General NPI Number Information
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NPI Number | 1801398912
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Entity Type | Individual
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Provider Name | DINA VELD MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 19306 ECORSE RD STE 102
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City | ALLEN PARK
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State | MI
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Zip | 48101-2262
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Country | US
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Telephone | 313-329-3829
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Fax | 313-307-0078
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Provider Business Mailing Address
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Address Line | 26185 WICK RD
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City | TAYLOR
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State | MI
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Zip | 48180-3082
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Country | US
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Telephone | 313-615-0005
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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 | 6401224675
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License Number State | MI
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