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General NPI Number Information
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NPI Number | 1366676140
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Entity Type | Organization
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Legal Business Name | MARILEE FELDMAN, MS, LCPC, CADC, LLC
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 545 PLAINFIELD RD STE E
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City | WILLOWBROOK
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State | IL
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Zip | 60527-7601
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Country | US
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Telephone | 630-269-2886
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Fax |
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Provider Business Mailing Address
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Address Line | 545 PLAINFIELD RD STE E
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City | WILLOWBROOK
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State | IL
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Zip | 60527-7601
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Country | US
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Telephone | 630-269-2886
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. MARILEE FELDMAN
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Credential | MS, LCPC, CADC
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Telephone | 630-269-2886
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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 | 180-006809
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License Number State | IL
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