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General NPI Number Information
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NPI Number | 1104699255
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Entity Type | Organization
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Legal Business Name | TRUE NORTH COUNSELING
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 1709 JUMER DR STE A
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City | BLOOMINGTON
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State | IL
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Zip | 61704-0914
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Country | US
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Telephone | 300-846-3201
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Fax |
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Provider Business Mailing Address
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Address Line | 2207 WOODHAVENS DR
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City | BLOOMINGTON
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State | IL
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Zip | 61701-7812
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Country | US
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Telephone | 300-846-3201
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Fax |
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Authorized Official
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Title or Position | LCPC/ OWNER
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Name | CHARLES ALEX PARLETTE
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Credential |
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Telephone | 309-846-3201
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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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