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General NPI Number Information
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NPI Number | 1306714779
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Entity Type | Organization
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Legal Business Name | BECOMING WHOLE COUNSELING
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 312 S MAIN ST
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City | TROY
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State | IL
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Zip | 62294-1809
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Country | US
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Telephone | 618-751-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 312 S MAIN ST
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City | TROY
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State | IL
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Zip | 62294-1809
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Country | US
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Telephone | 618-751-4466
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MEGAN FUNKHOUSER
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Credential | LCPC
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Telephone | 618-751-4466
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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 |
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License Number State |
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