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General NPI Number Information
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NPI Number | 1194358630
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Entity Type | Individual
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Provider Name | JENNIFER RENEE EARNEST LCPC, NCC, CCMHC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 2526 BUTTERFIELD ROAD SUITE 138S
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City | OAKBROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone | 630-537-0124
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Fax |
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Provider Business Mailing Address
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Address Line | 1342 CYPRESS DR
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City | LEMONT
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State | IL
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Zip | 60439-4642
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Country | US
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Telephone | 630-742-4753
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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 | 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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