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General NPI Number Information
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NPI Number | 1902590169
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Entity Type | Organization
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Legal Business Name | NEST COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 1019 DALLAS AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49507-1407
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Country | US
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Telephone | 248-818-4999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7838
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City | GRAND RAPIDS
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State | MI
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Zip | 49510-7838
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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 | OWNER / SOLE MEMBER
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Name | LORI PRESTON
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Credential | LPC
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Telephone | 248-818-4999
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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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