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General NPI Number Information
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NPI Number | 1144516709
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Entity Type | Organization
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Legal Business Name | CONNECTIONS COUNSELING, INC.
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 1262 W BORDERS DR
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City | PALATINE
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State | IL
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Zip | 60067-6614
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Country | US
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Telephone | 847-202-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 1262 BORDERS DRIVE
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City | PALATINE
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State | IL
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Zip | 60067-6614
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Country | US
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Telephone | 847-202-8671
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | MR. HARRY JAMES NOZICKA
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Credential | LCSW
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Telephone | 847-202-8671
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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 | 149000475
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License Number State | IL
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