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General NPI Number Information
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NPI Number | 1427887082
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Entity Type | Individual
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Provider Name | CHRISTINA POE LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 805 N PROSPECT AVE STE A
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City | CHAMPAIGN
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State | IL
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Zip | 61820-2856
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Country | US
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Telephone | 217-766-9112
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N PROSPECT AVE STE A
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City | CHAMPAIGN
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State | IL
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Zip | 61820-2856
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Country | US
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Telephone | 217-480-0108
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1427887082
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1427887082
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1427887082
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1427887082
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | 1427887082
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1427887082
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License Number State | IL
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