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General NPI Number Information
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NPI Number | 1265906028
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Entity Type | Individual
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Provider Name | MONICA ISAAC ALMFT, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 708 CHURCH ST STE 217
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City | EVANSTON
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State | IL
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Zip | 60201-3881
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Country | US
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Telephone | 773-633-0557
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 OAKTON ST
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City | EVANSTON
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State | IL
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Zip | 60202-2714
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Country | US
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Telephone | 773-633-0557
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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 | 178.014484
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License Number State | IL
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