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NPI Code Detail

MEDICARE: MS. ADRIENNE LYNNE DANCY LCPC

MEDICARE: MS. ADRIENNE LYNNE DANCY 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 Counselor180003903IL

General Provider Information

NPI Number : 1992882732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADRIENNE LYNNE DANCY LCPC
Provider Business Mailing Address
First Line : 10725 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60643-3217
Country : US
Telephone Number : 312-952-2006
Fax Number : 773-310-3488
Provider Business Practice Location Address
First Line : 10725 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60643-3217
Country : US
Telephone Number : 312-952-2006
Fax Number : 773-310-3488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/12/2020

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