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General NPI Number Information
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NPI Number | 1316529779
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Entity Type | Organization
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Legal Business Name | ZMB COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 3166 N LINCOLN AVE STE 205
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City | CHICAGO
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State | IL
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Zip | 60657-3119
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Country | US
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Telephone | 773-505-8467
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Fax |
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Provider Business Mailing Address
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Address Line | 6618 N TRUMBULL AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3738
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Country | US
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Telephone | 773-505-8467
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZEHRA METOVIC-BARNES
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Credential | MA, LCPC
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Telephone | 773-505-8467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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