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General NPI Number Information
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NPI Number | 1881049617
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Entity Type | Individual
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Provider Name | JENNIFER GENOW-MYERS LPC
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Gender | Female
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 15600 19 MILE RD # MI48038
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-3502
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Country | US
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Telephone | 248-474-4701
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Fax |
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Provider Business Mailing Address
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Address Line | 15600 19 MILE RD # MI
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-3502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6401222651
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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