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General NPI Number Information
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NPI Number | 1184431538
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Entity Type | Organization
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Legal Business Name | WORDEN COUNSELING AND CONSULTING INC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 24012 W RENWICK RD STE 204
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City | PLAINFIELD
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State | IL
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Zip | 60544-8733
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Country | US
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Telephone | 815-676-4688
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Fax | 815-676-4498
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Provider Business Mailing Address
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Address Line | 13841 MEADOW LN
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City | PLAINFIELD
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State | IL
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Zip | 60544-2891
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Country | US
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Telephone | 630-880-0221
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | COREY WORDEN
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Credential | MA, LCPC
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Telephone | 630-880-0221
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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 |
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License Number State |
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