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General NPI Number Information
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NPI Number | 1407633175
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Entity Type | Organization
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Legal Business Name | NEWBURY COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 611 W BRIAR PL STE 5
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City | CHICAGO
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State | IL
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Zip | 60657-4560
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Country | US
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Telephone | 773-823-4515
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Fax |
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Provider Business Mailing Address
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Address Line | 4180 N MARINE DR APT 604
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City | CHICAGO
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State | IL
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Zip | 60613-2209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICAL THERAPIST
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Name | JULIA NEWBURY
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Credential | MSW, LCSW
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Telephone | 773-823-4515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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