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General NPI Number Information
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NPI Number | 1831654326
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Entity Type | Organization
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Legal Business Name | INTROSPECTIVE COUNSELING, LLC
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 24445 NORTHWESTERN HWY STE 220
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2437
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Country | US
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Telephone | 248-242-5545
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Fax |
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Provider Business Mailing Address
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Address Line | 24445 NORTHWESTERN HWY STE 220
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2437
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Country | US
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Telephone | 313-207-5581
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Fax | 248-450-0582
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JARRETTE WRIGHT-BOOKER
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Credential | MA, LPC, CAADC
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Telephone | 313-207-5581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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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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