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General NPI Number Information
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NPI Number | 1215709282
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Entity Type | Organization
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Legal Business Name | ESSER COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 5126 CITADEL CT
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City | ROCKFORD
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State | IL
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Zip | 61109-3804
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Country | US
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Telephone | 815-505-7371
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Fax |
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Provider Business Mailing Address
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Address Line | 5126 CITADEL CT
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City | ROCKFORD
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State | IL
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Zip | 61109-3804
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Country | US
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Telephone | 815-505-7371
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. REBECCA ESSER
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Credential | LCPC
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Telephone | 708-320-9416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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