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General NPI Number Information
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NPI Number | 1023748381
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Entity Type | Individual
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Provider Name | JONATHAN LOI LPC
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Gender | Male
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1500 E LINCOLN HWY STE A
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City | DEKALB
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State | IL
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Zip | 60115-3990
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Country | US
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Telephone | 779-256-0955
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 E LINCOLN HWY STE A
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City | DEKALB
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State | IL
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Zip | 60115-3990
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Country | US
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Telephone | 779-256-0955
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LPC-178.021660
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-212697
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License Number State | IL
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