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General NPI Number Information
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NPI Number | 1164030557
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Entity Type | Organization
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Legal Business Name | ACORN & OAK COUNSELING PLLC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 1333 W DEVON AVE STE 319
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City | CHICAGO
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State | IL
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Zip | 60660-1329
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Country | US
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Telephone | 312-613-1142
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Fax |
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Provider Business Mailing Address
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Address Line | 55 E MONROE ST STE 3800
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City | CHICAGO
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State | IL
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Zip | 60603-6030
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Country | US
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Telephone | 312-613-1142
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Fax |
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Authorized Official
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Title or Position | LCPC
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Name | JESSICA RENNER
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Credential | M.A.
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Telephone | 312-887-0319
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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 |
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License Number State |
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