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General NPI Number Information
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NPI Number | 1447754262
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Entity Type | Organization
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Legal Business Name | NICK MCDOANLD COUNSELLING SERVICES INCORPORATED
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 552 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-6658
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Country | US
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Telephone | 708-663-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 11423 S NATOMA AVE
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City | WORTH
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State | IL
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Zip | 60482-2131
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Country | US
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Telephone | 708-663-2249
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | NICHOLAS MCDONALD
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Credential | LPC
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Telephone | 708-663-2249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.010333
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License Number State | IL
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