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General NPI Number Information
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NPI Number | 1023701406
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Entity Type | Organization
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Legal Business Name | BOOKER COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 520 W PALMER ST
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City | ARTHUR
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State | IL
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Zip | 61911-1240
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Country | US
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Telephone | 217-259-9680
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Fax |
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Provider Business Mailing Address
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Address Line | 520 W PALMER ST
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City | ARTHUR
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State | IL
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Zip | 61911-1240
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Country | US
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Telephone | 217-259-9680
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. ERIN BOOKER
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Credential | LCPC
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Telephone | 217-259-9680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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