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General NPI Number Information
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NPI Number | 1972210474
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Entity Type | Organization
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Legal Business Name | BIRCH AND BLOOM COUNSELING
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 408 S PINE ST
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-2433
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Country | US
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Telephone | 810-923-8619
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Fax |
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Provider Business Mailing Address
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Address Line | 408 S PINE ST
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-2433
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Country | US
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Telephone | 810-923-8619
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER ALEXIS GIEGLER
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Credential | LPC
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Telephone | 810-923-8619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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