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NPI 1497618417

NPI 1497618417 : WHOLE SELF COUNSELING : ST CHARLES, IL

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General NPI Number Information
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    NPI Number           |    1497618417
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHOLE SELF COUNSELING 
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Dates
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    Enumeration Date     |    12/05/2025
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    35W788 BLUFF DR 
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    City                 |    ST CHARLES
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    State                |    IL
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    Zip                  |    60175-5191
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    Country              |    US
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    Telephone            |    630-448-0614
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    35W788 BLUFF DR 
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    City                 |    ST CHARLES
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    State                |    IL
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    Zip                  |    60175-5191
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    Country              |    US
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    Telephone            |    630-448-0614
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KATHRYN  CROW 
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    Credential           |    LCSW
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    Telephone            |    630-975-0052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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