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General NPI Number Information
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NPI Number | 1285445445
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Entity Type | Organization
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Legal Business Name | CITYPSYCH COUNSELING, PLLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 2449 W CORTEZ ST
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City | CHICAGO
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State | IL
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Zip | 60622-6477
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Country | US
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Telephone | 312-854-9073
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Fax |
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Provider Business Mailing Address
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Address Line | 2516 WAUKEGAN RD # 172
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City | GLENVIEW
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State | IL
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Zip | 60025-1774
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Country | US
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Telephone | 312-854-9073
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Fax |
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Authorized Official
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Title or Position | CO-OWNER, THERAPIST
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Name | STEPHANIE WALSH
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Credential |
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Telephone | 630-945-7973
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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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