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NPI Code Detail

MEDICARE: MS. STEPHANIE ANNE DOWNS LCPC

MEDICARE:  MS. STEPHANIE ANNE DOWNS  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
1101YP2500XProfessional Counselor180-004303IL

General Provider Information

NPI Number : 1861657140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE ANNE DOWNS LCPC
Provider Business Mailing Address
First Line : 1540 W THORNDALE AVE APT 3
Second Line :
City : CHICAGO
State : IL
Zip : 60660-3323
Country : US
Telephone Number : 239-438-2843
Fax Number :
Provider Business Practice Location Address
First Line : 4801 W PETERSON AVE STE 525
Second Line :
City : CHICAGO
State : IL
Zip : 60646-5731
Country : US
Telephone Number : 773-286-3100
Fax Number : 773-777-7543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2008
Last Update Date : 07/25/2008

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Directions to “ MS. STEPHANIE ANNE DOWNS LCPC” Practice Location

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