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General NPI Number Information
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NPI Number | 1609780402
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Entity Type | Organization
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Legal Business Name | D & D COUNSELING PRACTICE PLLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 401 TYLER CT
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City | VERNON HILLS
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State | IL
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Zip | 60061-1325
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Country | US
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Telephone | 440-714-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 401 TYLER CT
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City | VERNON HILLS
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State | IL
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Zip | 60061-1325
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/VICE PRESIDENT
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Name | DAVID GRAY
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Credential | LCPC
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Telephone | 440-714-8822
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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 | NULL
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