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General NPI Number Information
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NPI Number | 1306780937
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Entity Type | Organization
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Legal Business Name | STAR STUFF COUNSELING AND ART THERAPY
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 4809 N RAVENSWOOD AVE SUITE 112
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City | CHICAGO
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State | IL
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Zip | 60640
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Country | US
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Telephone | 631-946-4308
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 W BRYN MWAR AVE STE F PMB 186
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City | CHICAGO
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State | IL
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Zip | 60660
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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 | PROFESSIONAL COUNSELOR
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Name | HILARY FIONA GRUBER
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Credential | LCPC, ATR
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Telephone | 631-946-4308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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