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General NPI Number Information
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NPI Number | 1225384241
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Entity Type | Individual
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Provider Name | CARA LISBETH STERN M.S.,M.PHIL.ED,LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 625 N MICHIGAN AVE STE 1000
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City | CHICAGO
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State | IL
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Zip | 60611-3114
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Country | US
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Telephone | 312-572-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 S PRAIRIE AVE APT 1005
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City | CHICAGO
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State | IL
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Zip | 60605-3422
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Country | US
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Telephone | 215-738-2568
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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 | 180.009902
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License Number State | IL
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