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General NPI Number Information
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NPI Number | 1356772412
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Entity Type | Organization
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Legal Business Name | ACHIEVING SOLUTIONS COUNSELING, INC.
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 600 S WASHINGTON ST SUITE 302
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City | NAPERVILLE
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State | IL
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Zip | 60540-6656
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Country | US
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Telephone | 630-632-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S WASHINGTON ST SUITE 302
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City | NAPERVILLE
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State | IL
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Zip | 60540-6656
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Country | US
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Telephone | 630-632-4060
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | KIMBERLY E. GROLL
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Credential | LCPC
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Telephone | 630-632-4060
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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 | 180008884
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License Number State | IL
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