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General NPI Number Information
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NPI Number | 1215748546
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Entity Type | Organization
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Legal Business Name | MBC CLINICAL COUNSELING AND VOCATIONAL SERVICES
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 535 WESTERN ST
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-3022
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Country | US
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Telephone | 224-421-2430
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Fax |
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Provider Business Mailing Address
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Address Line | 535 WESTERN ST
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-3022
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Country | US
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Telephone | 224-421-2430
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAYA HELENA BENNING-CODINA
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Credential | MA, CRC, LCPC, CSAT
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Telephone | 224-421-2430
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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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