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General NPI Number Information
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NPI Number | 1306237367
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Entity Type | Individual
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Provider Name | RAMANDA SIMONIC PSY.D., LCPC, CADC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 12 W CASS ST
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City | JOLIET
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State | IL
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Zip | 60432-4116
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Country | US
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Telephone | 815-727-2830
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Fax | 815-727-4039
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Provider Business Mailing Address
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Address Line | 12 W CASS ST
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City | JOLIET
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State | IL
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Zip | 60432-4116
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Country | US
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Telephone | 815-727-2830
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Fax | 815-727-4039
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180.008753
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 30510
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.008753
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.008753
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 180-008753
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License Number State | IL
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