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General NPI Number Information
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NPI Number | 1215789169
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Entity Type | Individual
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Provider Name | ALISON LANE LEVY LPC, CADC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 2045 W NORTH AVE STE 2B
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City | CHICAGO
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State | IL
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Zip | 60647-5413
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Country | US
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Telephone | 773-249-2921
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Fax |
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Provider Business Mailing Address
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Address Line | 1169 S PLYMOUTH CT APT 117
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City | CHICAGO
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State | IL
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Zip | 60605-2055
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Country | US
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Telephone | 586-662-5355
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 38014
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.020071
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License Number State | IL
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