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General NPI Number Information
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NPI Number | 1528618873
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Entity Type | Individual
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Provider Name | STEPHANIE KATHRYN ADAMS MA, LCPC, LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 3729 N RAVENSWOOD AVE STE 117
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City | CHICAGO
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State | IL
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Zip | 60613-3570
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Country | US
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Telephone | 773-274-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 714 MICKELSON WAY
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City | LEBANON
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State | TN
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Zip | 37087-5043
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Country | US
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Telephone | 574-529-2226
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178012592
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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 | 5474
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License Number State | TN
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