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General NPI Number Information
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NPI Number | 1316495310
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Entity Type | Individual
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Provider Name | LESLIE ALBION LCPC
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Gender | Female
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 661 W. LAKE ST. STE. 2S
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City | CHICAGO
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State | IL
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Zip | 60661
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Country | US
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Telephone | 815-347-3029
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Fax | 815-758-7569
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Provider Business Mailing Address
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Address Line | 638 GLIDDEN AVE.
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City | DEKALB
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State | IL
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Zip | 60115
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Country | US
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Telephone | 815-347-3029
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Fax | 815-758-7569
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.014041
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License Number State | IL
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