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General NPI Number Information
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NPI Number | 1245572924
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Entity Type | Individual
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Provider Name | CHRISTINA K. NOLAN ED.D., NCC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 11800 S 75TH AVE
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1033
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Country | US
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Telephone | 708-671-8440
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Fax |
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Provider Business Mailing Address
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Address Line | 4 OLD TAMARACK LN
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City | ORLAND PARK
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State | IL
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Zip | 60462-1977
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Country | US
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Telephone | 708-829-7255
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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 | 180.006554
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License Number State | IL
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