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General NPI Number Information
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NPI Number | 1518405877
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Entity Type | Individual
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Provider Name | CARNELL A. COLEBROOK-CLAUDE PHD, NCC, LPCC, LSOE
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Gender | Female
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1449 S MICHIGAN AVE STE 13127
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City | CHICAGO
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State | IL
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Zip | 60605-2810
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Country | US
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Telephone | 954-686-2020
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Fax | 954-604-6506
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Provider Business Mailing Address
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Address Line | 1449 S MICHIGAN AVE STE 13127
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City | CHICAGO
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State | IL
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Zip | 60605-2810
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Country | US
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Telephone | 954-686-2020
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Fax | 954-604-6506
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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Taxonomy #3
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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Taxonomy #5
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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Taxonomy #6
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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Taxonomy #8
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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Taxonomy #9
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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Taxonomy #10
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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Taxonomy #11
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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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Taxonomy #12
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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Taxonomy #13
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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