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General NPI Number Information
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NPI Number | 1174294615
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Entity Type | Organization
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Legal Business Name | DKS COUNSELING LLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 1618 W COLONIAL PKWY STE 120
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City | INVERNESS
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State | IL
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Zip | 60067-4725
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Country | US
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Telephone | 224-938-9579
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Fax | 224-567-8247
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Provider Business Mailing Address
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Address Line | 1618 W COLONIAL PKWY STE 120
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City | INVERNESS
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State | IL
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Zip | 60067-4725
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Country | US
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Telephone | 224-938-9579
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Fax | 224-567-8247
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANE SNYDER
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Credential | LCPC
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Telephone | 708-712-5254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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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