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General NPI Number Information
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NPI Number | 1437614666
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Entity Type | Individual
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Provider Name | BONNIE MCDANIEL M.ED, LCPC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2019
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 333 N RANDALL RD # 105B
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City | ST CHARLES
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State | IL
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Zip | 60174-1573
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Country | US
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Telephone | 847-313-5457
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Fax |
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Provider Business Mailing Address
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Address Line | 244 S RANDALL RD # 1054
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City | ELGIN
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State | IL
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Zip | 60123-5529
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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 |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1780144327
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License Number State | IL
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