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General NPI Number Information
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NPI Number | 1982259735
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Entity Type | Organization
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Legal Business Name | RESPIRE COUNSELING SERVICES
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 08/08/2019
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Provider Practice Location Address
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Address Line | 902 RAZORBACK DR STE 5
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City | HOUGHTON
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State | MI
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Zip | 49931-2802
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Country | US
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Telephone | 906-205-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 ROBINDALE DR
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City | HOUGHTON
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State | MI
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Zip | 49931-2732
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Country | US
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Telephone | 215-589-3994
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | DR. SELIN PHILIP
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Credential | PH.D.
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Telephone | 215-589-3994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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