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General NPI Number Information
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NPI Number | 1841883832
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Entity Type | Organization
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Legal Business Name | COUNSELING BY CORYANNA, PLLC
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 343 S MAIN ST STE 203
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City | ANN ARBOR
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State | MI
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Zip | 48104-2116
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Country | US
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Telephone | 734-787-8966
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Fax | 734-794-3797
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Provider Business Mailing Address
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Address Line | 4049 BERKELEY AVE
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City | CANTON
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State | MI
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Zip | 48188-7229
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Country | US
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Telephone | 734-787-8966
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Fax | 734-794-3797
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER, CEO
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Name | CORYANNA L. KU
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Credential | LPC, NCC
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Telephone | 734-787-8966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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