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General NPI Number Information
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NPI Number | 1477563641
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Entity Type | Organization
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Legal Business Name | VCC COUNSELING, INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/29/2019
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Provider Practice Location Address
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Address Line | 460 BRIARGATE DR STE 700
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-2284
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Country | US
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Telephone | 847-488-1999
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Fax | 847-488-9797
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Provider Business Mailing Address
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Address Line | 460 BRIARGATE DR STE 700
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-2284
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Country | US
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Telephone | 847-488-1999
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Fax | 847-488-9797
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID M. GURSKY I
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Credential | PH.D.
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Telephone | 847-488-1999
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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 | 180-004160
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-004551
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-000394
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-006174
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-006200
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149-007397
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149-009744
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166-000559
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071-004333
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License Number State | IL
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