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General NPI Number Information
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NPI Number | 1033545769
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Entity Type | Organization
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Legal Business Name | DANIEL FERENCE LCPC, INC
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 10526 W CERMAK RD SUITE 307C
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City | WESTCHESTER
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State | IL
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Zip | 60154-5249
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Country | US
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Telephone | 708-497-9729
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Fax |
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Provider Business Mailing Address
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Address Line | 279 BARTRAM RD
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City | RIVERSIDE
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State | IL
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Zip | 60546-1886
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LCPC
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Name | DANIEL FERENCE
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Credential | LCPC
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Telephone | 708-497-9729
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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 | 180.008749
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License Number State | IL
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