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General NPI Number Information
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NPI Number | 1548843808
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Entity Type | Individual
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Provider Name | LATECHIA HESTER LCPC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 6511 28TH PL
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City | BERWYN
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State | IL
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Zip | 60402-2785
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Country | US
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Telephone | 708-935-1821
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Fax | 708-401-0470
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Provider Business Mailing Address
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Address Line | 6511 28TH PL
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City | BERWYN
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State | IL
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Zip | 60402-2785
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Country | US
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Telephone | 708-935-1821
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Fax | 708-401-0470
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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 | 180013366
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License Number State | IL
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