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General NPI Number Information
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NPI Number | 1194188524
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Entity Type | Organization
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Legal Business Name | MEYER CLINICAL COUNSELING, INC.
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Dates
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Enumeration Date | 04/02/2016
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 535 S WASHINGTON ST SUITE 27
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City | NAPERVILLE
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State | IL
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Zip | 60540-6795
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Country | US
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Telephone | 630-267-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 535 S WASHINGTON ST SUITE 27
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City | NAPERVILLE
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State | IL
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Zip | 60540-6795
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Country | US
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Telephone | 630-267-5432
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. CHRISTY D. MEYER
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Credential | LCPC, CADC, NCC
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Telephone | 630-267-5432
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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 | 180.009896
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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 | 180.009896
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License Number State | IL
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