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General NPI Number Information
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NPI Number | 1548741531
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Entity Type | Organization
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Legal Business Name | KAROLINA HOGUEISSON LCPC LTD
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 15020 S RAVINIA AVE STE 23
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City | ORLAND PARK
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State | IL
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Zip | 60462-5352
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Country | US
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Telephone | 847-208-4223
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Fax | 708-844-6069
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Provider Business Mailing Address
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Address Line | PO BOX 42
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City | ORLAND PARK
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State | IL
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Zip | 60462-0042
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Country | US
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Telephone | 847-208-4223
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Fax | 708-844-6069
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Authorized Official
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Title or Position | OWNER
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Name | KAROLINA HOGUEISSON
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Credential | LCPC
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Telephone | 847-208-4223
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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 | 180007576
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License Number State | IL
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