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General NPI Number Information
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NPI Number | 1841941564
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Entity Type | Organization
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Legal Business Name | COURAGE AND CARE COUNSELING
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 7460 M E CAD BLVD STE 7
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City | CLARKSTON
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State | MI
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Zip | 48348-4270
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Country | US
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Telephone | 989-820-7805
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Fax |
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Provider Business Mailing Address
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Address Line | 6193 LINDSAY DR
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City | WATERFORD
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State | MI
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Zip | 48329-3031
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Country | US
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Telephone | 989-820-7805
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | ALESHA BARNES
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Credential | LMSW
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Telephone | 989-820-7805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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