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General NPI Number Information
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NPI Number | 1033978184
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Entity Type | Organization
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Legal Business Name | NURTURING AND INNER-GROWTH COUNSELING, LLC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 428 CAMBRIDGE WAY
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1147
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Country | US
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Telephone | 708-696-4345
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Fax |
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Provider Business Mailing Address
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Address Line | 422 S MAIN ST # 1040
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City | LOMBARD
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State | IL
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Zip | 60148-2600
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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 | LICENSED CLINICAL SOCIAL WORKER
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Name | GENAI S HOUSER
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Credential | LCSW
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Telephone | 708-696-4345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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