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General NPI Number Information
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NPI Number | 1295431427
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Entity Type | Organization
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Legal Business Name | DARCY RAE WEXELBAUM LCPC PC
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 3380 LACROSSE LN STE 116
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City | NAPERVILLE
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State | IL
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Zip | 60564-8520
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Country | US
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Telephone | 773-914-1615
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Fax |
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Provider Business Mailing Address
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Address Line | 1243 THACKERY CT
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City | NAPERVILLE
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State | IL
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Zip | 60564-3175
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Country | US
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Telephone | 773-914-1615
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DARCY R WEXELBAUM
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Credential | LCPC
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Telephone | 773-914-1615
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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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