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General NPI Number Information
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NPI Number | 1467883520
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Entity Type | Organization
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Legal Business Name | THE CHOICE IS YOURS COUNSELING, LLC
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 1800 PRAIRIE AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-3313
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Country | US
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Telephone | 630-991-1677
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Fax | 630-968-6840
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Provider Business Mailing Address
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Address Line | 1800 PRAIRIE AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-3313
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Country | US
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Telephone | 630-991-1677
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Fax | 630-968-6840
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Authorized Official
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Title or Position | COUNSELOR
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Name | SUSAN K SAVAGE
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Credential | LCPC
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Telephone | 630-991-1677
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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 | 180.006928
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License Number State | IL
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