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General NPI Number Information
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NPI Number | 1386353803
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Entity Type | Organization
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Legal Business Name | BRANDY LOCHEN, LCPC, LASOP
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 418 N CENTER ST
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-4301
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Country | US
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Telephone | 224-357-6754
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 CUNAT CT APT 1D
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City | LAKE IN THE HILLS
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State | IL
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Zip | 60156-5262
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Country | US
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Telephone | 815-483-3739
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BRANDY LOCHEN
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Credential | LCPC, LASOP
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Telephone | 224-357-6754
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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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