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General NPI Number Information
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NPI Number | 1316103898
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Entity Type | Individual
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Provider Name | JOHN LAWRENCE JAUCH MA, LCPC
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1319 BUTTERFIELD RD STE 500
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5621
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Country | US
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Telephone | 773-295-7072
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Fax | 312-312-5180
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Provider Business Mailing Address
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Address Line | 1319 BUTTERFIELD RD STE 500
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5621
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Country | US
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Telephone | 773-295-7072
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Fax | 312-312-5180
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C9781
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C9781
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180008827
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180008827
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License Number State | IL
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