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General NPI Number Information
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NPI Number | 1508512674
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Entity Type | Organization
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Legal Business Name | ACHIEVE COUNSELING PLLC
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Dates
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Enumeration Date | 02/26/2022
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Last Update Date | 02/26/2022
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Provider Practice Location Address
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Address Line | 2020 N LINCOLN PARK W APT 29K
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City | CHICAGO
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State | IL
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Zip | 60614-4731
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Country | US
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Telephone | 847-769-5479
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Fax |
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Provider Business Mailing Address
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Address Line | 4227 N SALEM DR
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7902
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Country | US
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Telephone | 847-769-5479
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/THERAPIST
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Name | MR. JEFFREY LEWIS
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Credential | LCPC
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Telephone | 847-769-5479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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