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General NPI Number Information
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NPI Number | 1154967982
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Entity Type | Individual
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Provider Name | GRANT BARLOW LPCC
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Gender | Male
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 4610 N CLARK ST # 1010
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City | CHICAGO
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State | IL
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Zip | 60640-4620
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Country | US
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Telephone | 773-242-8261
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 LINCOLN AVE UNIT G
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City | CINCINNATI
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State | OH
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Zip | 45206-1684
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Country | US
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Telephone | 773-573-6727
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2404580
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License Number State | OH
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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 | 180.012006
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License Number State | IL
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