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General NPI Number Information
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NPI Number | 1366218620
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Entity Type | Organization
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Legal Business Name | NU-MIND COUNSELING SERVICES
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 7153 S ARTESIAN AVE
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City | CHICAGO
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State | IL
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Zip | 60629-1425
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Country | US
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Telephone | 872-260-6640
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Fax |
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Provider Business Mailing Address
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Address Line | 5501 SEMINARY RD APT 1540S
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City | FALLS CHURCH
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State | VA
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Zip | 22041-3908
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Country | US
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Telephone | 872-260-6640
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | REGINA JONES
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Credential | LCSW
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Telephone | 773-727-9117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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