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General NPI Number Information
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NPI Number | 1093115024
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Entity Type | Organization
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Legal Business Name | KALLMANN COUNSELING AND CONSULTING, P.C.
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 2530 CRAWFORD AVE SUITE 208
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City | EVANSTON
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State | IL
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Zip | 60201-4970
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Country | US
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Telephone | 224-688-2277
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Fax | 888-977-1505
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Provider Business Mailing Address
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Address Line | 2530 CRAWFORD AVE SUITE 208
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City | EVANSTON
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State | IL
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Zip | 60201-4970
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Country | US
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Telephone | 224-688-2277
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Fax | 888-977-1505
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. KIMBERLY KALLMANN SPIEGEL
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Credential | LCPC, CADC, CSAT
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Telephone | 224-688-2277
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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 | 180.007275
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License Number State | IL
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