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General NPI Number Information
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NPI Number | 1316617368
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Entity Type | Organization
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Legal Business Name | KMH COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 200 S WACKER DR STE 600
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City | CHICAGO
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State | IL
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Zip | 60606-5849
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Country | US
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Telephone | 312-869-2081
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Fax |
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Provider Business Mailing Address
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Address Line | 821 N FRANCISCO AVE
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City | CHICAGO
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State | IL
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Zip | 60622-4413
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Country | US
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Telephone | 312-209-9892
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | KATHERINE M HAYES
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Credential | LCPC
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Telephone | 312-869-2081
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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 |
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License Number State |
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