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General NPI Number Information
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NPI Number | 1528537933
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Entity Type | Individual
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Provider Name | VALERIE KRASEVIC LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 2021 MIDWEST RD STE 200
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City | OAK BROOK
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State | IL
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Zip | 60523-1370
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Country | US
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Telephone | 630-489-5135
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 WARRENVILLE RD STE 200
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City | LISLE
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State | IL
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Zip | 60532-1999
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Country | US
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Telephone | 630-799-8265
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.011640
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License Number State | IL
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