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General NPI Number Information
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NPI Number | 1467509109
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Entity Type | Individual
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Provider Name | ALICE BADGER LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2020 BROADWAY ST STE A
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City | MOUNT VERNON
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State | IL
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Zip | 62864-2973
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Country | US
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Telephone | 618-634-7753
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Fax |
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Provider Business Mailing Address
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Address Line | 6 SUNSET DR
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City | MOUNT VERNON
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State | IL
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Zip | 62864-2215
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Country | US
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Telephone | 616-183-1689
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180006424
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License Number State | IL
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