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General NPI Number Information
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NPI Number | 1598553612
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Entity Type | Organization
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Legal Business Name | DEPTH COUNSELING SERVICES P C
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 9900 SPECTRUM DR
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City | AUSTIN
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State | TX
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Zip | 78717-4555
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Country | US
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Telephone | 312-786-4990
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Fax |
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Provider Business Mailing Address
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Address Line | 122 S MICHIGAN AVE STE 1441
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City | CHICAGO
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State | IL
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Zip | 60603-6173
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Country | US
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Telephone | 312-786-4990
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY SCOTT RIZZOLO
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Credential |
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Telephone | 312-588-0654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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