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General NPI Number Information
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NPI Number | 1538584487
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Entity Type | Individual
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Provider Name | FELICIA INEZ WILLIAMS M.A.,LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2014
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 1820 RIDGE RD SUITE 200
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City | HOMEWOOD
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State | IL
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Zip | 60430-1760
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Country | US
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Telephone | 708-363-8075
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Fax | 708-363-8075
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Provider Business Mailing Address
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Address Line | 1820 RIDGE RD SUITE 200
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City | HOMEWOOD
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State | IL
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Zip | 60430-1760
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Country | US
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Telephone | 708-363-8075
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Fax | 708-363-8075
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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 | 180.008664
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License Number State | IL
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