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General NPI Number Information
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NPI Number | 1295672996
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Entity Type | Organization
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Legal Business Name | COLLECTIVE SHAKTI COUNSELING PC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 213 W INSTITUTE PL STE 500
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City | CHICAGO
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State | IL
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Zip | 60610-8792
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Country | US
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Telephone | 530-447-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 213 W INSTITUTE PL STE 500
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City | CHICAGO
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State | IL
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Zip | 60610-8792
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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 | PRESIDENT
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Name | CHANDRA SHANMUGAVEL
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Credential | LPCC, LCPC, NCC
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Telephone | 609-433-8625
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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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