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1548494651 NPI number — BREANNE DANIELLE HURLBERT LPC MACP

NPI Number: 1548494651
Health Care Provider/Practitioner: BREANNE DANIELLE HURLBERT LPC MACP

Information about “1548494651” NPI (BREANNE DANIELLE HURLBERT LPC MACP) exists in 1548494651 in HTML format HTML  |  1548494651 in plain Text format TXT  |  1548494651 in PDF (Portable Document Format) PDF  |  1548494651 in an XML format XML  formats.

NPI Number : 1548494651 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548494651",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HURLBERT",
    "FirstName": "BREANNE",
    "MiddleName": "DANIELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC MACP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FUELLING",
    "OtherFirstName": "BREANNE",
    "OtherMiddleName": "DANIELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPC MACP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "550 E WASHINGTON ST",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "WEST CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60185-2228",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "550 E WASHINGTON ST",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "WEST CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60185-2228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-292-8006",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/05/2009",
    "LastUpdateDate": "05/05/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "178.005172",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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