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General NPI Number Information
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NPI Number | 1952949935
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY COUNSELING SERVICES
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 3448 E LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-1511
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Country | US
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Telephone | 517-487-6559
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 CHESTER RD
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City | LANSING
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State | MI
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Zip | 48912-4808
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Country | US
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Telephone | 518-487-6559
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Fax | 810-626-0026
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | ETHEL WHITE
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Credential |
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Telephone | 517-487-6559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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