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General NPI Number Information
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NPI Number | 1386385672
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Entity Type | Individual
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Provider Name | NICOLE ANDERSON BARNDS MA, LCPC, BC-DMT
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Gender | Female
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Dates
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Enumeration Date | 04/02/2022
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 1135 SKOKIE BLVD
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City | NORTHBROOK
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State | IL
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Zip | 60062-4118
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Country | US
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Telephone | 847-441-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 N 12TH AVE UNIT 2
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City | MELROSE PARK
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State | IL
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Zip | 60160-3532
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Country | US
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Telephone | 919-606-1355
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.013375
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number | BC-DMT-1388
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180013375
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License Number State | IL
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