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NPI 1568773810

NPI 1568773810 : RHONDA L SYKES PMHNP-BC, APRN, LCPC : JOLIET, IL

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General NPI Number Information
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    NPI Number           |    1568773810
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    Entity Type          |    Individual 
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    Provider Name        |    RHONDA L SYKES PMHNP-BC, APRN, LCPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/01/2010
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    Last Update Date     |    09/14/2022
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Provider Practice Location Address
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    Address Line         |    1002 INFANTRY DR STE F 
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    City                 |    JOLIET
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    State                |    IL
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    Zip                  |    60435-3109
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    Country              |    US
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    Telephone            |    815-685-8864
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    Fax                  |    815-823-8460
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Provider Business Mailing Address
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    Address Line         |    1002 N 129TH INFANTRY DR STE F 
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    City                 |    JOLIET
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    State                |    IL
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    Zip                  |    60435-3109
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    Country              |    US
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    Telephone            |    815-685-8864
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    Fax                  |    815-823-8460
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    6370
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    180003613
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    209.025372
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    License Number State |    IL
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