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General NPI Number Information
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NPI Number | 1992505192
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Entity Type | Organization
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Legal Business Name | INFINITE JOURNEYS COUNSELING CENTER
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 18341 W 13 MILE RD APT 21
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1171
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Country | US
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Telephone | 313-207-2695
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 SPINNAKER LN APT 11C
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City | DETROIT
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State | MI
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Zip | 48207-5005
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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 | MENTAL HEALTH THERAPIST
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Name | VICKIE WILLIS
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Credential |
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Telephone | 313-207-2695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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