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General NPI Number Information
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NPI Number | 1497950935
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Entity Type | Individual
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Provider Name | KATHLEEN A. GEISER MA, LCPC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | IL MASONIC MEDICAL CENTER, BEHAVIORAL HEALTH 938 W. NELSON, 3RD FLOOR, DEAF PROGRAM
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City | CHICAGO
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State | IL
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Zip | 60657
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Country | US
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Telephone | 773-296-3297
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Fax |
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Provider Business Mailing Address
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Address Line | 2799 ODLUM DR
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City | SCHAUMBURG
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State | IL
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Zip | 60194-4967
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Country | US
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Telephone | 847-798-8424
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | IL
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