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General NPI Number Information
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NPI Number | 1295374445
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Entity Type | Organization
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Legal Business Name | BE PRESENT THERAPY AND WELLNESS, PC
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Dates
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Enumeration Date | 01/04/2020
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Last Update Date | 01/04/2020
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Provider Practice Location Address
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Address Line | 1105 CURTISS ST FL 2
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4694
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Country | US
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Telephone | 630-426-3495
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Fax |
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Provider Business Mailing Address
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Address Line | 525 DUNHAM RD STE 55
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City | SAINT CHARLES
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State | IL
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Zip | 60174-1490
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Country | US
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Telephone | 630-426-3495
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. JACLYN GRAFF
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Credential | MA, LCPC
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Telephone | 708-525-9947
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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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