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General NPI Number Information
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NPI Number | 1578081824
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Entity Type | Organization
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Legal Business Name | OLA COUNSELING, P.C.
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1424 W CHICAGO AVE STE H
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City | CHICAGO
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State | IL
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Zip | 60642-5232
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Country | US
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Telephone | 734-476-0958
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Fax | 312-465-1352
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Provider Business Mailing Address
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Address Line | 1424 W CHICAGO AVE STE H
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City | CHICAGO
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State | IL
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Zip | 60642-5232
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Country | US
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Telephone | 734-476-0958
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Fax | 312-465-1352
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Authorized Official
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Title or Position | DIRECTOR
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Name | MEAGHAN TURNER
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Credential | LCSW
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Telephone | 734-476-0958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149019207
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License Number State | IL
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