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General NPI Number Information
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NPI Number | 1528894995
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Entity Type | Organization
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Legal Business Name | ROSE PLUS POPPY COUNSELING, PLLC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2606 W GRANVILLE AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60659-3277
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Country | US
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Telephone | 312-371-2812
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 W GRANVILLE AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60659-3277
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Country | US
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Telephone | 312-371-2812
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Fax |
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Authorized Official
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Title or Position | OWNER, LCPC
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Name | MEGAN PALMA
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Credential | LCPC
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Telephone | 312-772-2129
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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 |
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License Number State |
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