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General NPI Number Information
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NPI Number | 1396585717
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH CONNECTIONS, PLLC
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 101 N VIRGINIA ST STE 105
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-3466
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Country | US
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Telephone | 815-893-4004
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Fax | 815-893-4070
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Provider Business Mailing Address
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Address Line | 101 N VIRGINIA ST STE 105
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-3466
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Country | US
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Telephone | 815-893-4004
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Fax | 815-893-4070
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Authorized Official
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Title or Position | PMHNP
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Name | MS. KENDRA K CONSIDINE
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Credential | APRN
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Telephone | 312-206-4115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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