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General NPI Number Information
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NPI Number | 1922658624
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Entity Type | Organization
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Legal Business Name | NORTHERN COUNSELING ASSOCIATION PLLC
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 337 E HOUGHTON AVE
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City | WEST BRANCH
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State | MI
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Zip | 48661-1127
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Country | US
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Telephone | 989-329-1224
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Fax |
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Provider Business Mailing Address
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Address Line | 2345 GREEN RD
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City | WEST BRANCH
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State | MI
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Zip | 48661-9153
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Country | US
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Telephone | 989-965-2113
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | LINDA LOU REMINDER
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Credential |
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Telephone | 989-345-0957
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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 |
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License Number State |
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