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General NPI Number Information
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NPI Number | 1114553047
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Entity Type | Organization
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Legal Business Name | JUST INJOY COUNSELING, PLLC.
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 902 W 119TH ST
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City | CHICAGO
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State | IL
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Zip | 60643-5214
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Country | US
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Telephone | 708-567-5184
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Fax |
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Provider Business Mailing Address
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Address Line | 15941 HARLEM AVE # 160
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City | TINLEY PARK
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State | IL
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Zip | 60477-1609
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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 | CEO
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Name | MS. VERLINE M GADDIS
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Credential |
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Telephone | 708-567-5184
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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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