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General NPI Number Information
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NPI Number | 1124734058
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Entity Type | Organization
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Legal Business Name | NEST COUNSELING, LLC
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 3825 HIGHLAND AVENUE TOWER 1 SUITE 3K
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City | DOWNERS GROVE
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State | IL
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Zip | 60515
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Country | US
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Telephone | 630-277-9119
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Fax |
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Provider Business Mailing Address
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Address Line | 10S531 RUTGERS CT
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-5131
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Country | US
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Telephone | 331-201-0676
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Fax |
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Authorized Official
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Title or Position | THERAPIST & OWNER
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Name | JESSICA LARSON
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Credential | M.ED., LMFT, LPC
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Telephone | 331-201-0676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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