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General NPI Number Information
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NPI Number | 1457016305
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Entity Type | Organization
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Legal Business Name | CAREER AND WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 1421 W HURON ST APT 2F
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City | CHICAGO
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State | IL
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Zip | 60642-6128
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Country | US
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Telephone | 872-215-2661
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Fax |
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Provider Business Mailing Address
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Address Line | 1444 W TAYLOR ST # 2654
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City | CHICAGO
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State | IL
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Zip | 60607-4670
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Country | US
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Telephone | 708-325-8259
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. AUTUMN LARA CABELL
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Credential | PH.D.
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Telephone | 708-325-8259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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