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General NPI Number Information
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NPI Number | 1073471413
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Entity Type | Organization
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Legal Business Name | KAYLEE KRUZAN PSYCHOTHERAPY AND CONSULTING PLLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1135 CLARENCE AVE
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City | OAK PARK
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State | IL
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Zip | 60304-2009
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Country | US
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Telephone | 810-241-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 680 N LAKE SHORE DR STE 1101646
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City | CHICAGO
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State | IL
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Zip | 60611-4546
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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/PSYCHOTHERAPIST
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Name | KAYLEE PAYNE KRUZAN
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Credential | LCSW
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Telephone | 810-241-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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