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General NPI Number Information
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NPI Number | 1003476136
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Entity Type | Organization
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Legal Business Name | PAMELA FORD COUNSELING LIMITED
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 750 ALMAR PKWY STE 205
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City | BOURBONNAIS
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State | IL
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Zip | 60914-2399
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Country | US
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Telephone | 708-372-6443
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Fax | 844-272-6180
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Provider Business Mailing Address
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Address Line | 750 ALMAR PKWY STE 205
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City | BOURBONNAIS
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State | IL
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Zip | 60914-2399
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Country | US
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Telephone | 708-372-6443
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Fax | 844-272-6180
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PAMELA A FORD
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Credential | LCPC CADC
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Telephone | 708-372-6443
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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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