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General NPI Number Information
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NPI Number | 1568061224
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE COUNSELING SOLUTIONS, INC
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 6469 E MCCORMICK RD
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City | STILLMAN VALLEY
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State | IL
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Zip | 61084-9736
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Country | US
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Telephone | 815-289-9212
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Fax |
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Provider Business Mailing Address
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Address Line | 4879 FOREST DR
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City | ROCKFORD
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State | IL
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Zip | 61109-4644
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Country | US
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Telephone | 815-289-9212
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/COUNSELOR
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Name | DONNA JEAN KASPER
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Credential | MS, NCC, LCPC
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Telephone | 815-289-9212
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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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