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General NPI Number Information
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NPI Number | 1205797958
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Entity Type | Organization
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Legal Business Name | CASEY COUNSELING & CONSULTING, PLLC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 4603 N RACINE AVE APT 204
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City | CHICAGO
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State | IL
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Zip | 60640-6387
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Country | US
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Telephone | 708-407-4206
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Fax | 773-961-7375
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Provider Business Mailing Address
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Address Line | 4603 N RACINE AVE APT 204
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City | CHICAGO
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State | IL
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Zip | 60640-6387
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Country | US
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Telephone | 708-407-4206
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Fax | 773-961-7375
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | ANTHONY JOSEPH CASEY
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Credential | LCPC
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Telephone | 708-407-4206
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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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