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General NPI Number Information
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NPI Number | 1497031728
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Entity Type | Individual
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Provider Name | COLLEEN MARIE CATANIA LCPC, CADC, NCC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 308 W STATE ST STE 3D
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City | REDLANDS
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State | CA
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Zip | 92373-4653
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Country | US
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Telephone | 949-409-5781
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Fax |
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Provider Business Mailing Address
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Address Line | 324 LAKE GILLILAN WAY
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City | ALGONQUIN
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State | IL
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Zip | 60102-5014
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Country | US
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Telephone | 815-341-0566
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180.007156
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License Number State | IL
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