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General NPI Number Information
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NPI Number | 1528397981
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Entity Type | Organization
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Legal Business Name | EMPOWERING OPTIONS INC
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 2656 W MONTROSE AVE SUITE 102
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City | CHICAGO
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State | IL
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Zip | 60618-1559
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Country | US
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Telephone | 773-338-2889
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Fax |
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Provider Business Mailing Address
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Address Line | 2656 W MONTROSE AVE SUITE 102
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City | CHICAGO
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State | IL
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Zip | 60618-1559
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Country | US
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Telephone | 773-338-2889
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. CHERI DEMOSS
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Credential | M.A. NCADC II
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Telephone | 773-338-2889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 180006878
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180006878
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180006878
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License Number State | IL
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