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NPI Code Detail

MEDICARE: DORE COUNSELING PLLC

MEDICARE: DORE COUNSELING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1578410239
Entity Type Code : Organization
Provider Name (Legal Business Name) : DORE COUNSELING PLLC
Provider Business Mailing Address
First Line : 6203 BLUE HERON DR
Second Line :
City : HOWELL
State : MI
Zip : 48843-7147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6203 BLUE HERON DR
Second Line :
City : HOWELL
State : MI
Zip : 48843-7147
Country : US
Telephone Number : 517-376-1477
Fax Number :
Authorized Official
Title or Position : CLINICAL SOCIAL WORKER
Name : DIANE DORE
Credential : LMSW
Telephone Number : 517-376-1477
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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