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General NPI Number Information
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NPI Number | 1114627353
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Entity Type | Organization
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Legal Business Name | WONE COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 85 S 3RD AVE
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 618-705-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 539 ROOSEVELT RD # 1174
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City | GLEN ELLYN
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State | IL
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Zip | 60137-5734
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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
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Name | JESSICA WONE
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Credential | LCSW
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Telephone | 618-705-0224
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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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