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General NPI Number Information
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NPI Number | 1295355345
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Entity Type | Organization
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Legal Business Name | HORIZON COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 04/19/2020
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Last Update Date | 04/19/2020
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Provider Practice Location Address
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Address Line | 122 S LOCUST ST
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City | SYCAMORE
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State | IL
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Zip | 60178-1865
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Country | US
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Telephone | 815-709-4357
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 435
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City | SYCAMORE
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State | IL
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Zip | 60178-0435
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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 | OWNER, THETAPIST
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Name | BRIAN MUELLER
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Credential | M.A., L.C.P.C.
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Telephone | 815-709-4357
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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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