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General NPI Number Information
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NPI Number | 1962260166
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Entity Type | Organization
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Legal Business Name | KAYLA KREUTZER COUNSELING
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 2510 KERRY ST STE 210
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City | LANSING
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State | MI
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Zip | 48912-3671
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Country | US
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Telephone | 630-297-5838
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 KERRY ST STE 210
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City | LANSING
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State | MI
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Zip | 48912-3671
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MASTER SOCIAL WORKER
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Name | KAYLA KREUTZER
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Credential |
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Telephone | 630-297-5838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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