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General NPI Number Information
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NPI Number | 1467652941
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Entity Type | Organization
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Legal Business Name | SMS CAREER COUNSELING & PSYCHOTHERAPY, P.C.
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 8582 HIGHCREST DR
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City | DARIEN
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State | IL
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Zip | 60561-1678
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Country | US
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Telephone | 630-880-7700
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Fax | 630-214-6004
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Provider Business Mailing Address
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Address Line | 8582 HIGHCREST DR
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City | DARIEN
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State | IL
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Zip | 60561-1678
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Country | US
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Telephone | 630-880-7700
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Fax | 630-214-6004
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Authorized Official
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Title or Position | PRESIDENT / CLINICAL PRACTITIONER
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Name | MS. SUZANNE MARIE SULLIVAN
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Credential | LCPC
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Telephone | 630-880-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | IL
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