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General NPI Number Information
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NPI Number | 1437018991
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Entity Type | Organization
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Legal Business Name | NORTH STAR COUNSELING AND HEALING PLLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1603 ORRINGTON AVE STE 600
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City | EVANSTON
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State | IL
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Zip | 60201-3860
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Country | US
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Telephone | 312-625-2760
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 CHATHAM RD STE N
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 312-625-2760
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Fax |
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Authorized Official
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Title or Position | OWNER & FOUNDER
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Name | CAROLYN ANN RAITT
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Credential | LCPC, NCC
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Telephone | 312-625-2760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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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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