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General NPI Number Information
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NPI Number | 1164616173
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Entity Type | Individual
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Provider Name | ALYSSA BROWDER LCPC, CADC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2007
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 1220 IROQUOIS AVE
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City | NAPERVILLE
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State | IL
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Zip | 60563-8542
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Country | US
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Telephone | 630-805-1635
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Fax |
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Provider Business Mailing Address
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Address Line | 2422 OAK TREE LN
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City | PLAINFIELD
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State | IL
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Zip | 60586-7192
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Country | US
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Telephone | 630-805-1635
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 21253
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License Number State | IL
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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 | 180.006125
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License Number State | IL
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