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General NPI Number Information
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NPI Number | 1033434238
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Entity Type | Individual
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Provider Name | ANNA GLASS MA, LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 3047 N LINCOLN AVE SUITE 400
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City | CHICAGO
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State | IL
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Zip | 60657-4999
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Country | US
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Telephone | 773-501-8741
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 W AINSLIE ST APT 3W
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City | CHICAGO
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State | IL
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Zip | 60625-7861
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Country | US
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Telephone | 773-501-8741
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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 | 2514160115
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2514160115
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-004116
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180-004116
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License Number State | IL
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