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General NPI Number Information
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NPI Number | 1942954664
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Entity Type | Organization
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Legal Business Name | COMPLETION HOUSE INC.
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 239 STATE ST
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City | PONTIAC
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State | MI
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Zip | 48341-1363
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Country | US
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Telephone | 248-335-5437
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Fax | 248-335-7766
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Provider Business Mailing Address
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Address Line | 239 STATE ST
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City | PONTIAC
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State | MI
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Zip | 48341-1363
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Country | US
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Telephone | 248-335-5437
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Fax | 248-335-7766
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Authorized Official
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Title or Position | COUNSELOR
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Name | PAMELA SUE COTTON
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Credential | CPRM
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Telephone | 248-335-5437
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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 |
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License Number State |
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