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General NPI Number Information
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NPI Number | 1275480600
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Entity Type | Organization
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Legal Business Name | THERAPYWITHJACOB LLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 213 W INSTITUTE PL STE 500
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City | CHICAGO
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State | IL
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Zip | 60610-8792
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Country | US
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Telephone | 630-414-7506
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Fax |
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Provider Business Mailing Address
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Address Line | 213 W INSTITUTE PL STE 500
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City | CHICAGO
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State | IL
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Zip | 60610-8792
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCPC
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Name | JACOB MULLINS
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Credential | MA
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Telephone | 630-414-7506
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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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