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General NPI Number Information
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NPI Number | 1851950356
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Entity Type | Organization
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Legal Business Name | TRUNORTH COUNSELING, PLLC
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Dates
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Enumeration Date | 06/08/2019
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 1312 WARREN AVE UPPER LEVEL, RM #1
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City | JACKSON
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State | MI
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Zip | 49203-3732
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Country | US
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Telephone | 517-990-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 WARREN AVE UPPER LEVEL, RM #1
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City | JACKSON
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State | MI
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Zip | 49203-3732
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Country | US
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Telephone | 517-990-2224
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | VICKI L ISELER
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Credential |
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Telephone | 517-960-5110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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