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General NPI Number Information
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NPI Number | 1386491058
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Entity Type | Organization
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Legal Business Name | ORGANIC HEALING COUNSELING, PLLC
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Dates
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Enumeration Date | 05/01/2024
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 7604 W STRONG ST
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City | NORRIDGE
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State | IL
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Zip | 60706-3354
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Country | US
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Telephone | 872-314-0090
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56573
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City | HARWOOD HEIGHTS
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State | IL
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Zip | 60656-0556
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Country | US
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Telephone | 872-314-0090
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOTHERAPIST, SUPERVISOR
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Name | DR. PRINCESS GABRIELLE GABOR
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Credential | ED.D., LCPC
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Telephone | 872-314-0090
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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 |
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License Number State |
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