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General NPI Number Information
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NPI Number | 1437966355
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Entity Type | Organization
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Legal Business Name | FINANCIAL WELLNESS THERAPY AND COUNSELING PLLC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 4353 N OAK PARK AVE
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City | HARWOOD HEIGHTS
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State | IL
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Zip | 60706-7188
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Country | US
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Telephone | 708-202-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 6351 W MONTROSE AVE STE 198
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City | CHICAGO
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State | IL
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Zip | 60634-1563
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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 | CLINICAL SOCIAL WORKER
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Name | ERIC VICENS
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Credential |
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Telephone | 773-320-2259
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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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