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General NPI Number Information
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NPI Number | 1033845573
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Entity Type | Organization
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Legal Business Name | KATHERINE KOESTER, LLC
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 515 HAMILTON ST
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City | GENEVA
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State | IL
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Zip | 60134-2138
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Country | US
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Telephone | 630-828-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 38W615 HILLTOP DR
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City | ST CHARLES
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State | IL
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Zip | 60175-6018
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Country | US
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Telephone | 630-828-6655
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE KOESTER
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Credential | LCPC
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Telephone | 630-828-6655
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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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