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General NPI Number Information
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NPI Number | 1629401633
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Entity Type | Individual
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Provider Name | ANNA LAYAH LAMDEN LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST SUITE 1210
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City | CHICAGO
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State | IL
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Zip | 60602-1708
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Country | US
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Telephone | 312-659-6591
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Fax | 312-980-0837
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Provider Business Mailing Address
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Address Line | 25 E WASHINGTON ST SUITE 1210
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City | CHICAGO
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State | IL
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Zip | 60602-1708
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Country | US
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Telephone | 312-659-6591
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Fax | 312-980-0837
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178009168
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License Number State | IL
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