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General NPI Number Information
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NPI Number | 1952288441
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Entity Type | Organization
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Legal Business Name | NATALIE JEAN COUNSELING AND PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2522 WOODMEADOW DR SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8031
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Country | US
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Telephone | 248-660-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 165 GLEN EAGLE DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-1183
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Country | US
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Telephone | 248-660-7873
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATALIE OTTE
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Credential | PHD, LP
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Telephone | 248-660-7873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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