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General NPI Number Information
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NPI Number | 1942428511
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Entity Type | Organization
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Legal Business Name | COUNSELINGOFLENAWEE, PC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 127 N EVANS ST
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City | TECUMSEH
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State | MI
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Zip | 49286-1554
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Country | US
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Telephone | 517-424-7345
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Fax | 517-264-0383
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Provider Business Mailing Address
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Address Line | 127 N EVANS ST
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City | TECUMSEH
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State | MI
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Zip | 49286-1554
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Country | US
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Telephone | 517-424-7345
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Fax | 517-264-0383
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS DONNA J BISHOP
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Credential | MA, LPC
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Telephone | 517-424-7345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6401006470
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License Number State | MI
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