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General NPI Number Information
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NPI Number | 1588160725
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Entity Type | Organization
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Legal Business Name | INNOVATIVE COUNSELING SOLUTIONS LLC
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 8 MORGAN BLVD
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City | VALPARAISO
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State | IN
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Zip | 46383-4836
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Country | US
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Telephone | 219-242-9154
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Fax | 219-465-7169
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Provider Business Mailing Address
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Address Line | 8 MORGAN BLVD
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City | VALPARAISO
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State | IN
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Zip | 46383-4836
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Country | US
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Telephone | 219-242-9154
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Fax | 219-465-7169
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. NICOLE ADELE KRUEGER
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Credential | LCSW
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Telephone | 219-242-9154
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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 | 340069A
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License Number State | IN
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