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General NPI Number Information
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NPI Number | 1437743515
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Entity Type | Organization
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Legal Business Name | WOOD COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 155 N MICHIGAN AVE STE 624
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City | CHICAGO
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State | IL
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Zip | 60601-7795
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Country | US
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Telephone | 718-809-4836
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Fax |
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Provider Business Mailing Address
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Address Line | 805 LAKE ST UNIT 350
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City | OAK PARK
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State | IL
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Zip | 60301-1301
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Country | US
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Telephone | 718-809-4836
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | AMY WOOD
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Credential | LMFT
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Telephone | 718-809-4836
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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 |
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License Number State |
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