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General NPI Number Information
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NPI Number | 1609484435
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Entity Type | Organization
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Legal Business Name | COMFORTABLE COUNSELING LLC
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 111 BARCLAY BLVD STE 180
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3615
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Country | US
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Telephone | 847-748-2019
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Fax | 847-748-2019
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Provider Business Mailing Address
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Address Line | 111 BARCLAY BLVD STE 180
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3615
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Country | US
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Telephone | 547-748-2019
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Fax | 847-748-2019
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Authorized Official
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Title or Position | OWNER
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Name | KRISTA JACKSON
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Credential |
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Telephone | 224-243-1472
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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 |
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License Number State |
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