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General NPI Number Information
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NPI Number | 1366034217
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Entity Type | Organization
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Legal Business Name | BRIGHT HOPE COUNSELING, LLC
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 18020 STATE LINE AVE
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City | LANSING
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State | IL
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Zip | 60438-2450
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Country | US
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Telephone | 708-505-9663
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3331
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City | MUNSTER
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State | IN
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Zip | 46321-0331
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SANDRA K VREE
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Credential | LCPC, LMHC
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Telephone | 708-204-5119
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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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