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General NPI Number Information
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NPI Number | 1033784590
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Entity Type | Organization
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Legal Business Name | TRIUNE COUNSELING SERVICES
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 38 N BROADWAY ST STE 4
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City | DES PLAINES
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State | IL
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Zip | 60016-2348
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Country | US
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Telephone | 847-361-3361
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Fax |
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Provider Business Mailing Address
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Address Line | 38 N BROADWAY ST STE 4
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City | DES PLAINES
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State | IL
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Zip | 60016-2348
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Country | US
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Telephone | 847-361-3361
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. RENE A SPINA
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Credential | LCPC, CADC
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Telephone | 847-361-3361
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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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