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General NPI Number Information
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NPI Number | 1508723370
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Entity Type | Organization
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Legal Business Name | DRIFT AND ANCHOR PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1812 MONROE CT
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City | GLENVIEW
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State | IL
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Zip | 60025-1486
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Country | US
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Telephone | 708-831-1846
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 MONROE CT
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City | GLENVIEW
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State | IL
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Zip | 60025-1486
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Country | US
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Telephone | 708-831-1846
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTA LEE
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Credential | MA, LCPC
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Telephone | 708-831-1846
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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 |
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