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General NPI Number Information
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NPI Number | 1033738406
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE COUNSELING CENTER LLC
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 05/04/2025
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Provider Practice Location Address
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Address Line | 314 E DOWNER PL
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City | AURORA
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State | IL
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Zip | 60505-3404
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Country | US
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Telephone | 630-277-9608
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Fax |
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Provider Business Mailing Address
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Address Line | 307 N RIVER RD
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City | NORTH AURORA
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State | IL
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Zip | 60542-1250
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Country | US
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Telephone | 847-840-3737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID BARRETO
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Credential | LCPC
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Telephone | 847-840-3737
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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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