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General NPI Number Information
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NPI Number | 1578353751
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Entity Type | Individual
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Provider Name | BRITNEY BLACKMON LCP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 132 W JEFFERSON AVE STE 208
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City | NAPERVILLE
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State | IL
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Zip | 60540-5007
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Country | US
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Telephone | 331-267-7927
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Fax |
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Provider Business Mailing Address
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Address Line | 1438 W BELMONT AVE STE 1
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City | CHICAGO
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State | IL
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Zip | 60657-2166
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Country | US
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Telephone | 312-312-5083
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Fax |
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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 | 178.021212
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License Number State | IL
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