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General NPI Number Information
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NPI Number | 1285522847
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Entity Type | Individual
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Provider Name | ASHLYN COLLINS
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 18698 W PETERSON RD
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1052
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Country | US
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Telephone | 847-377-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 2930 GLACIER WAY UNIT D
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City | WAUCONDA
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State | IL
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Zip | 60084-5056
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Country | US
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Telephone | 620-920-9377
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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