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General NPI Number Information
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NPI Number | 1508504275
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Entity Type | Individual
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Provider Name | ASHLEE ZAK BA, CADC
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 400 E LINCOLN HWY STE 102
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City | NEW LENOX
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State | IL
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Zip | 60451-1993
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Country | US
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Telephone | 217-318-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 0N060 EASTON AVE
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City | WEST CHICAGO
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State | IL
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Zip | 60185-3606
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Country | US
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Telephone | 630-853-1244
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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 | 178.020090
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License Number State | IL
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