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General NPI Number Information
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NPI Number | 1073662847
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Entity Type | Organization
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Legal Business Name | CARDIA COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24W146 SAINT CHARLES RD
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City | CAROL STREAM
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State | IL
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Zip | 60188-2623
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Country | US
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Telephone | 630-588-0837
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Fax |
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Provider Business Mailing Address
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Address Line | 24W146 SAINT CHARLES RD
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City | CAROL STREAM
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State | IL
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Zip | 60188-2623
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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 | PRESIDENT
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Name | MS. JULIANA LYNN WILHELM
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Credential | L.C.P.C.
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Telephone | 630-588-0837
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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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