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General NPI Number Information
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NPI Number | 1174777866
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Entity Type | Organization
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Legal Business Name | FOUNDATION COUNSELING AND TRAINING, LTD.
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Dates
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Enumeration Date | 11/08/2008
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Last Update Date | 11/08/2008
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Provider Practice Location Address
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Address Line | 4300 COMMERCE CT SUITE 300-8
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City | LISLE
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State | IL
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Zip | 60532-3698
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Country | US
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Telephone | 630-364-1362
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Fax |
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Provider Business Mailing Address
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Address Line | 1658 ESTATE CIR
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City | NAPERVILLE
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State | IL
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Zip | 60565-6791
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Country | US
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Telephone | 630-364-1362
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALERIE G. MURPHY
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Credential | LCPC
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Telephone | 630-364-1362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180007046
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180007046
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180007046
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License Number State | IL
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