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General NPI Number Information
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NPI Number | 1396106704
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Entity Type | Individual
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Provider Name | BRITTANY WARREN LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 1130 VINE ST
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City | NEW HAVEN
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State | IL
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Zip | 62867-2048
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Country | US
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Telephone | 618-384-6034
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 VINE ST
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City | NEW HAVEN
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State | IL
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Zip | 62867-2048
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Country | US
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Telephone | 618-384-6034
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.01046
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18001046
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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 | 180010146
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License Number State | IL
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