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NPI Code Detail

MEDICARE: JANE HIRSCH LCPC

MEDICARE: JANE HIRSCH LCPC
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
1101YM0800XMental Health Counselor180.010591IL

General Provider Information

NPI Number : 1235612326
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE HIRSCH LCPC
Provider Business Mailing Address
First Line : 27 STONEHILL RD UNIT D
Second Line :
City : OSWEGO
State : IL
Zip : 60543-9449
Country : US
Telephone Number : 312-937-1132
Fax Number :
Provider Business Practice Location Address
First Line : 27 STONEHILL RD UNIT D
Second Line :
City : OSWEGO
State : IL
Zip : 60543-9449
Country : US
Telephone Number : 312-937-1132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 09/13/2018

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Directions to “ JANE HIRSCH LCPC” Practice Location

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