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General NPI Number Information
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NPI Number | 1851821623
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Entity Type | Organization
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Legal Business Name | PRACTICAL SOLUTIONS COUNSELING & CONSULTING, PLLC
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 2059 E PASS RD STE 4
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City | GULFPORT
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State | MS
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Zip | 39507-3761
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Country | US
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Telephone | 228-314-3626
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Fax |
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Provider Business Mailing Address
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Address Line | 15520 DANIEL BLVD STE E
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City | GULFPORT
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State | MS
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Zip | 39503-4744
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Country | US
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Telephone | 228-314-3626
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | JAN MICHELE VAN CHOFF
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Credential | LCSW
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Telephone | 228-314-3626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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