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General NPI Number Information
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NPI Number | 1992077028
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Entity Type | Individual
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Provider Name | CHRISTA RENEE COMER MA, LPC, NCC, CAADC
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Gender | Female
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 269 SUMMIT DR
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City | WATERFORD
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State | MI
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Zip | 48328-3364
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Country | US
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Telephone | 248-706-2937
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Fax | 248-706-3455
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Provider Business Mailing Address
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Address Line | 269 SUMMIT DR
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City | WATERFORD
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State | MI
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Zip | 48328-3364
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Country | US
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Telephone | 248-706-2937
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Fax | 248-706-3455
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6401010150
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License Number State | MI
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